Excipient compounds for biopolymer formulations

ABSTRACT

The invention encompasses formulations and methods for the production thereof that permit the delivery of concentrated protein solutions. The inventive methods can yield a lower viscosity liquid protein formulation or a higher concentration of therapeutic or nontherapeutic proteins in the liquid formulation, as compared to traditional protein solutions. The inventive methods can also yield a higher stability of a liquid protein formulation.

RELATED APPLICATIONS

This application is a continuation of U.S. application Ser. No.16/659,046 filed Oct. 21, 2019, which is a continuation of U.S.application Ser. No. 15/331,197 filed Oct. 21, 2016 (now U.S. Pat. No.10,478,498), which is a continuation-in-part of U.S. application Ser.No. 14/966,549 filed Dec. 11, 2015 (now U.S. Pat. No. 9,605,051), whichis a continuation of U.S. application Ser. No. 14/744,847 filed Jun. 19,2015, which claims the benefit of U.S. Provisional Application No.62/014,784 filed Jun. 20, 2014, U.S. Provisional Application No.62/083,623, filed Nov. 24, 2014, and U.S. Provisional Application Ser.No. 62/136,763 filed Mar. 23, 2015; U.S. application Ser. No. 14/966,549know U.S. Pat. No. 9,605,051), also claims the benefit of U.S.Provisional Application No. 62/245,513, filed Oct. 23, 2015; U.S.application Ser. No. 15/331,197 filed Oct. 21, 2016 also claims thebenefit of U.S. Provisional Application No. 62/245,513, filed Oct. 23,2015. The entire contents of the each of the above applications areincorporated by reference herein.

FIELD OF APPLICATION

This application relates generally to formulations for deliveringbiopolymers.

BACKGROUND

Biopolymers may be used for therapeutic or non-therapeutic purposes.Biopolymer-based therapeutics, such as antibody or enzyme formulations,are widely used in treating disease. Non-therapeutic biopolymers, suchas enzymes, peptides, and structural proteins, have utility innon-therapeutic applications such as household, nutrition, commercial,and industrial uses.

Biopolymers used in therapeutic applications must be formulated topermit their introduction into the body for treatment of disease. Forexample, it is advantageous to deliver 30 antibody and protein/peptidebiopolymer formulations by subcutaneous (SC) or intramuscular (IM)routes under certain circumstances, instead of administering theseformulations by intravenous (IV) injections. In order to achieve betterpatient compliance and comfort with SC or IM injection though, theliquid volume in the syringe is typically limited to 2 to 3 ccs and theviscosity of the formulation is typically lower than about 20 centipoise(cP) so that the formulation can be delivered using conventional medicaldevices and small-bore needles. These delivery parameters do not alwaysfit well with the dosage requirements for the formulations beingdelivered.

Antibodies, for example, may need to be delivered at high dose levels toexert their intended therapeutic effect. Using a restricted liquidvolume to deliver a high dose level of an antibody formulation canrequire a high concentration of the antibody in the delivery vehicle,sometimes exceeding a level of 150 mg/mL. At this dosage level, theviscosity-versus-concentration plots of the formulations lie beyondtheir linear-nonlinear transition, such that the viscosity of theformulation rises dramatically with increasing concentration. Increasedviscosity, however, is not compatible with standard SC or IM deliverysystems.

As an additional concern, solutions of biopolymer-based therapeutics arealso prone to stability problems, such as precipitation, fragmentation,oxidation, deamidation, hazing, opalescence, denaturing, and gelformation, reversible or irreversible aggregation. The stabilityproblems limit the shelf life of the solutions or require specialhandling.

As an example, one approach to producing protein formulations forinjection is to transform the therapeutic protein solution into a powderthat can be reconstituted to form a suspension suitable for SC or IMdelivery. Lyophilization is a standard technique to produce proteinpowders. Freeze-drying, spray drying and even precipitation followed bysuper-critical-fluid extraction have been used to generate proteinpowders for subsequent reconstitution. Powdered suspensions are low inviscosity before re-dissolution (compared to solutions at the sameoverall dose) and thus may be suitable for SC or IM injection, providedthe particles are sufficiently small to fit through the needle. However,protein crystals that are present in the powder have the inherent riskof triggering immune response. The uncertain protein stability/activityfollowing re-dissolution poses further concerns. There remains a need inthe art for techniques to produce low viscosity protein formulations fortherapeutic purposes while avoiding the limitations introduced byprotein powder suspensions.

In addition to the therapeutic applications of proteins described above,biopolymers such as enzymes, peptides, and structural proteins can beused in non-therapeutic applications. These non-therapeutic biopolymerscan be produced from a number of different pathways, for example,derived from plant sources, animal sources, or produced from cellcultures.

The non-therapeutic proteins can be produced, transported, stored, andhandled as a granular or powdered material or as a solution ordispersion, usually in water. The biopolymers for non-therapeuticapplications can be globular or fibrous proteins, and certain forms ofthese materials can have limited solubility in water or exhibit highviscosity upon dissolution. These solution properties can presentchallenges to the formulation, handling, storage, pumping, andperformance of the non-therapeutic materials, so there is a need formethods to reduce viscosity and improve solubility and stability ofnon-therapeutic protein solutions.

Proteins are complex biopolymers, each with a uniquely folded 3-Dstructure and surface energy map (hydrophobic/hydrophilic regions andcharges). In concentrated protein solutions, these macromolecules maystrongly interact and even inter-lock in complicated ways, depending ontheir exact shape and surface energy distribution. “Hot-spots” forstrong specific interactions lead to protein clustering, increasingsolution viscosity. To address these concerns, a number of excipientcompounds are used in biotherapeutic formulations, aiming to reducesolution viscosity by impeding localized interactions and clustering.These efforts are individually tailored, often empirically, sometimesguided by in silico simulations. Combinations of excipient compounds maybe provided, but optimizing such combinations again must progressempirically and on a case-by case basis.

There remains a need in the art for a truly universal approach toreducing viscosity in protein formulations at a given concentrationunder nonlinear conditions. There is an additional need in the art toachieve this viscosity reduction while preserving the activity of theprotein and avoiding stability problems. It would be further desirableto adapt the viscosity-reduction system to use with formulations havingtunable and sustained release profiles, and to use with formulationsadapted for depot injection.

SUMMARY OF THE INVENTION

Disclosed herein, in embodiments, are liquid formulations comprising aprotein and an excipient compound selected from the group consisting ofhindered amine compounds, aromatic compounds, functionalized aminoacids, oligopeptides, short-chain organic acids, low molecular weightaliphatic polyacids, and sulfones, wherein the excipient compound isadded in a viscosity-reducing amount. In embodiments, the protein is aPEGylated protein and the excipient is a low molecular weight aliphaticpolyacid. In embodiments, the excipient compound is an aromaticcompound, and the aromatic compound can be a phenol or a polyphenol. Inembodiments, the protein is a PEGylated protein. In embodiments, theformulation is a pharmaceutical composition, and the pharmaceuticalcomposition comprises a therapeutic protein, wherein the excipientcompound is a pharmaceutically acceptable excipient compound. Inembodiments, the formulation is a non-therapeutic formulation, and thenon-therapeutic formulation comprises a non-therapeutic protein. Inembodiments, the therapeutic protein is selected from the groupconsisting of bevacizumab, trastuzumab, adalimumab, infliximab,etanercept, darbepoetin alfa, epoetin alfa, cetuximab, pegfilgrastim,filgrastim, and rituximab. In embodiments, the excipient compound isformulated as a concentrated excipient solution. In embodiments, theviscosity-reducing amount reduces viscosity of the formulation to aviscosity less than the viscosity of a control formulation. Inembodiments, the viscosity of the formulation is at least about 10% lessthan the viscosity of the control formulation, or is at least about 30%less than the viscosity of the control formulation, or is at least about50% less than the viscosity of the control formulation, or is at leastabout 70% less than the viscosity of the control formulation, or is atleast about 90% less than the viscosity of the control formulation. Inembodiments, the viscosity is less than about 100 cP, or is less thanabout 50 cP, or is less than about 20 cP, or is less than about 10 cP.In embodiments, the excipient compound has a molecular weight of <5000Da, or <1500 Da, or <500 Da. In embodiments, the formulation contains atleast about 1 mg/ml of the protein, or at least about 25 mg/mL of theprotein, or at least about 50 mg/mL of the protein, or at least about100 mg/mL of the protein, or at least about 200 mg/mL of the protein. Inembodiments, the formulation comprises between about 0.001 mg/mL toabout 60 mg/mL of the excipient compound, or comprises between about 0.1mg/mL to about 50 mg/mL of the excipient compound, or comprises betweenabout 1 mg/mL to about 40 mg/mL, or comprises between about 5 mg/mL toabout 30 mg/mL of the excipient compound. In embodiments, theformulation has an improved stability when compared to the controlformulation. The improved stability can be manifested as a decrease inthe formation of visible particles, subvisible particles, aggregates,turbidity, opalescence, or gel. In embodiments, the formulation has animproved stability, wherein the improved stability is determined bycomparison with a control formulation, and wherein the controlformulation does not contain the excipient compound. In embodiments, theimproved stability prevents an increase in particle size as measured bylight scattering. In embodiments, the improved stability is manifestedby a percent monomer that is higher than the percent monomer in thecontrol formulation, wherein the percent monomer is measured by sizeexclusion chromatography. In embodiments, the excipient compound is ahindered amine, which can be caffeine. In embodiments, the hinderedamine is selected from the group consisting of caffeine, theophylline,tyramine, imidazole, aspartame, saccharin, acesulfame potassium,pyrimidinone, 1,3-dimethyluracil, triaminopyrimidine, pyrimidine, andtheacrine. In embodiments, the hindered amine is caffeine. Inembodiments, the formulation can comprise an additional agent selectedfrom the group consisting of preservatives, surfactants, sugars,polysaccharides, arginine, proline, hyaluronidase, stabilizers,solubilizers, co-solvents, hydrotropes, and buffers.

Further disclosed herein are methods of treating a disease or disorderin a mammal in need thereof, comprising administering to said mammal aliquid therapeutic formulation, wherein the therapeutic formulationcomprises a therapeutically effective amount of a therapeutic protein,and wherein the formulation further comprises an pharmaceuticallyacceptable excipient compound selected from the group consisting ofhindered amine compounds, aromatic compounds, functionalized aminoacids, oligopeptides, short-chain organic acids, low molecular weightaliphatic polyacids, and sulfones; and wherein the therapeuticformulation is effective for the treatment of the disease or disorder.In embodiments, the therapeutic protein is a PEGylated protein, and theexcipient compound is a low molecular weight aliphatic polyacid. Inembodiments, the therapeutic protein is a PEGylated protein, and theexcipient compound is an aromatic compound, which can be a phenol or apolyphenol, and the polyphenol can be tannic acid. In embodiments, theexcipient is a hindered amine. In embodiments, the formulation isadministered by subcutaneous injection, or an intramuscular injection,or an intravenous injection. In embodiments, the excipient compound ispresent in the therapeutic formulation in a viscosity-reducing amount,and the viscosity-reducing amount reduces viscosity of the therapeuticformulation to a viscosity less than the viscosity of a controlformulation. In embodiments, the excipient compound is prepared as aconcentrated excipient solution. In embodiments, the therapeuticformulation has an improved stability when compared to the controlformulation. In embodiments, the excipient compound is essentially pure.Disclosed herein, in embodiments, are methods of improving stability ofa liquid protein formulation, comprising: preparing a liquid proteinformulation comprising a therapeutic protein and an excipient compoundselected from the group selected from the group consisting of hinderedamine compounds, aromatic compounds, functionalized amino acids,oligopeptides, short-chain organic acids, low molecular weight aliphaticpolyacids, and sulfones, wherein the liquid protein formulationdemonstrates improved stability compared to a control liquid proteinformulation, wherein the control liquid protein formulation does notcontain the excipient compound and is otherwise substantially similar tothe liquid protein formulation. In embodiments, the excipient compoundis formulated as a concentrated excipient solution. The stability of theliquid formulation can be a chemical stability manifested by resistanceto a chemical reaction selected from the group consisting of hydrolysis,photolysis, oxidation, reduction, deamidation, disulfide scrambling,fragmentation, and dissociation. The stability of the liquid formulationcan be a cold storage conditions stability, a room temperature stabilityor an elevated temperature stability. The improved stability of theliquid protein formulation can be is manifested by a percent monomerthat is higher than the percent monomer in the control formulation,wherein the percent monomer is measured by size exclusionchromatography. The stability of the liquid formulation can be amechanical stability, which can be manifested by an improved tolerancefor a stress condition selected from the group consisting of agitation,pumping, filtering, filling, and gas bubble contact.

Also disclosed herein, in embodiments, are liquid formulationscomprising a protein and an excipient compound selected from the groupconsisting of hindered amine compounds, aromatic compounds,functionalized amino acids, oligopeptides, short-chain organic acids,low molecular weight aliphatic polyacids, and sulfones wherein thepresence of the excipient compound in the formulation results in a morestable protein-protein interaction as measured by the protein diffusioninteraction parameter kD, or the osmotic virial coefficient B22. Inembodiments, the formulation is a therapeutic formulation, and comprisesa therapeutic protein. In embodiments, the formulation is anon-therapeutic formulation, and comprises a non-therapeutic protein.

Further disclosed herein, in embodiments, are methods of improving aprotein-related process comprising providing the liquid formulationdescribed above, and employing it in a processing method. Inembodiments, the processing method includes filtration, pumping, mixing,centrifugation, purification, membrane separation, lyophilization, orchromatography.

BRIEF DESCRIPTION OF THE FIGURES

FIG. 1 shows a graph of particle size distributions for solutions of amonoclonal antibody under stressed and non-stressed conditions, asevaluated by Dynamic Light Scattering. The data curves in FIG. 1 have abaseline offset to allow comparison: the curve for Sample 1-A is offsetby 100 intensity units and the curve for Sample 1-FT is offset by 200intensity units in the Y-axis.

FIG. 2 shows a graph measuring sample diameter vs. multimodal sizedistribution for several molecular populations, as evaluated by DynamicLight Scattering. The data curves in FIG. 2 have a baseline offset toallow comparison: the curve for Sample 2-A is offset by 100 intensityunits and the curve for Sample 2-FT is offset by 200 intensity units inthe Y-axis.

FIG. 3 shows a size exclusion chromatogram of monoclonal antibodysolutions with a main monomer peak at 8-10 minutes retention time. Thedata curves in FIG. 3 have a baseline offset to allow comparison: thecurves for Samples 2-C, 2-A, and 2-FT are offset in the Y-axisdirection.

DETAILED DESCRIPTION

Disclosed herein are formulations and methods for their production anduse that permit the delivery of concentrated protein solutions. Inembodiments, the approaches disclosed herein can yield a lower viscosityliquid formulation or a higher concentration of therapeutic ornontherapeutic proteins in the liquid formulation, as compared totraditional protein solutions. In embodiments, the approaches disclosedherein can yield a liquid formulation having improved stability whencompared to a traditional protein solution. A stable formulation is onein which the protein contained therein substantially retains itsphysical and chemical stability and its therapeutic or nontherapeuticefficacy upon storage under storage conditions, whether cold storageconditions, room temperature conditions, or elevated temperature storageconditions. Advantageously, a stable formulation can also offerprotection against aggregation or precipitation of the proteinsdissolved therein. For example, the cold storage conditions can entailstorage in a refrigerator or freezer. In some examples, cold storageconditions can entail storage at a temperature of 10° C. or less. Inadditional examples, the cold storage conditions entail storage at atemperature from about 2° to about 10° C. In other examples, the coldstorage conditions entail storage at a temperature of about 4° C. Inadditional examples, the cold storage conditions entail storage atfreezing temperature such as about −20° C. or lower. In another example,cold storage conditions entail storage at a temperature of about −20° C.to about 0° C. The room temperature storage conditions can entailstorage at ambient temperatures, for example, from about 10° C. to about30° C. Elevated storage conditions can entail storage at a temperaturegreater than about 30° C. Elevated temperature stability, for example attemperatures from about 30° C. to about 50° C., can be used as part anaccelerated aging study to predict the long term storage at typicalambient (10-30° C.) conditions.

It is well known to those skilled in the art of polymer science andengineering that proteins in solution tend to form entanglements, whichcan limit the translational mobility of the entangled chains andinterfere with the protein's therapeutic or nontherapeutic efficacy. Inembodiments, excipient compounds as disclosed herein can suppressprotein clustering due to specific interactions between the excipientcompound and the target protein in solution. Excipient compounds asdisclosed herein can be natural or synthetic.

1. Definitions

For the purpose of this disclosure, the term “protein” refers to asequence of amino acids having a chain length long enough to produce adiscrete tertiary structure, typically having a molecular weight between1-3000 kDa. In some embodiments, the molecular weight of the protein isbetween about 50-200 kDa; in other embodiments, the molecular weight ofthe protein is between about 20-1000 kDa or between about 20-2000 kDa.In contrast to the term “protein,” the term “peptide” refers to asequence of amino acids that does not have a discrete tertiarystructure. A wide variety of biopolymers are included within the scopeof the term “protein.” For example, the term “protein” can refer totherapeutic or non-therapeutic proteins, including antibodies, aptamers,fusion proteins, PEGylated proteins, synthetic polypeptides, proteinfragments, lipoproteins, enzymes, structural peptides, and the like.

a. Therapeutic Biopolymers Definitions

Those biopolymers having therapeutic effects may be termed “therapeuticbiopolymers.” Those proteins having therapeutic effects may be termed“therapeutic proteins.” Formulations containing therapeutic proteins intherapeutically effective amounts may be termed “therapeuticformulations.” The therapeutic protein contained in a therapeuticformulation may also be termed its “protein active ingredient.” Inembodiments, a therapeutic formulation comprises a therapeuticallyeffective amount of a protein active ingredient and an excipient, withor without other optional components. As used herein, the term“therapeutic” includes both treatments of existing disorders andpreventions of disorders.

A “treatment” includes any measure intended to cure, heal, alleviate,improve, remedy, or otherwise beneficially affect the disorder,including preventing or delaying the onset of symptoms and/oralleviating or ameliorating symptoms of the disorder. Those patients inneed of a treatment include both those who already have a specificdisorder, and those for whom the prevention of a disorder is desirable.A disorder is any condition that alters the homeostatic wellbeing of amammal, including acute or chronic diseases, or pathological conditionsthat predispose the mammal to an acute or chronic disease. Non-limitingexamples of disorders include cancers, metabolic disorders (e.g.,diabetes), allergic disorders (e.g., asthma), dermatological disorders,cardiovascular disorders, respiratory disorders, hematologicaldisorders, musculoskeletal disorders, inflammatory or rheumatologicaldisorders, autoimmune disorders, gastrointestinal disorders, urologicaldisorders, sexual and reproductive disorders, neurological disorders,and the like. The term “mammal” for the purposes of treatment can referto any animal classified as a mammal, including humans, domesticanimals, pet animals, farm animals, sporting animals, working animals,and the like. A “treatment” can therefore include both veterinary andhuman treatments. For convenience, the mammal undergoing such“treatment” can be referred to as a “patient.” In certain embodiments,the patient can be of any age, including fetal animals in utero.

In embodiments, a treatment involves providing a therapeuticallyeffective amount of a therapeutic formulation to a mammal in needthereof. A “therapeutically effective amount” is at least the minimumconcentration of the therapeutic protein administered to the mammal inneed thereof, to effect a treatment of an existing disorder or aprevention of an anticipated disorder (either such treatment or suchprevention being a “therapeutic intervention”). Therapeuticallyeffective amounts of various therapeutic proteins that may be includedas active ingredients in the therapeutic formulation may be familiar inthe art; or, for therapeutic proteins discovered or applied totherapeutic interventions hereinafter, the therapeutically effectiveamount can be determined by standard techniques carried out by thosehaving ordinary skill in the art, using no more than routineexperimentation.

Therapeutic proteins include, for example, proteins such as bevacizumab,trastuzumab, adalimumab, infliximab, etanercept, darbepoetin alfa,epoetin alfa, cetuximab, filgrastim, and rituximab. Other therapeuticproteins will be familiar to those having ordinary skill in the art: asfurther non-limiting examples, therapeutic proteins can includemammalian proteins such as hormones and prohormones (e.g., insulin andproinsulin, glucagon, calcitonin, thyroid hormones (T3 or T4 orthyroid-stimulating hormone), parathyroid hormone, follicle-stimulatinghormone, luteinizing hormone, growth hormone, growth hormone releasingfactor, and the like); clotting and anti-clotting factors (e.g., tissuefactor, von Willebrand's factor, Factor VIIIC, Factor IX, protein C,plasminogen activators (urokinase, tissue-type plasminogen activators),thrombin); cytokines, chemokines, and inflammatory mediators;interferons; colony-stimulating factors; interleukins (e.g., IL-1through IL-10); growth factors (e.g., vascular endothelial growthfactors, fibroblast growth factor, platelet-derived growth factor,transforming growth factor, neurotrophic growth factors, insulin-likegrowth factor, and the like); albumins; collagens and elastins;hematopoietic factors (e.g., erythropoietin, thrombopoietin, and thelike); osteoinductive factors (e.g., bone morphogenetic protein);receptors (e.g., integrins, cadherins, and the like); surface membraneproteins; transport proteins; regulatory proteins; antigenic proteins(e.g., a viral component that acts as an antigen); and antibodies. Theterm “antibody” is used herein in its broadest sense, to include asnon-limiting examples monoclonal antibodies (including, for example,full-length antibodies with an immunoglobulin Fc region), single-chainmolecules, bi-specific and multi-specific antibodies, diabodies,antibody compositions having polyepitopic specificity, and fragments ofantibodies (including, for example, Fab, Fv, and F(ab′)2). Antibodiescan also be termed “immunoglobulins.” An antibody is understood to bedirected against a specific protein or non-protein “antigen,” which is abiologically important material; the administration of a therapeuticallyeffective amount of an antibody to a patient can complex with theantigen, thereby altering its biological properties so that the patientexperiences a therapeutic effect.

In embodiments, the proteins are PEGylated, meaning that they comprisepoly(ethylene glycol) (“PEG”) and/or poly(propylene glycol) (“PPG”)units. PEGylated proteins, or PEG-protein conjugates, have found utilityin therapeutic applications due to their beneficial properties such assolubility, pharmacokinetics, pharmacodynamics, immunogenicity, renalclearance, and stability. Non-limiting examples of PEGylated proteinsare PEGylated versions of cytokines, hormones, hormone receptors, cellsignaling factors, clotting factors, antibodies, antibody fragments,peptides, aptamers, and enzymes. In embodiments, the PEGylated proteinscan be interferons (PEG-IFN), PEGylated anti-vascular endothelial growthfactor (VEGF), PEGylated human growth hormones (HGH), PEGylated muteinantagonists, PEG protein conjugate drugs, Adagen, PEG-adenosinedeaminase, PEG-uricase, Pegaspargase, PEGylated granulocytecolony-stimulating factors (GCSF), Pegfilgrastim, Pegloticase,Pegvisomant, Pegaptanib, Peginesatide, PEGylatederythropoiesis-stimulating agents, PEGylated epoetin-α, PEGylatedepoetin-β, methoxy polyethylene glycol-epoetin beta, PEGylatedantihemophilic factor VIII, PEGylated antihemophilic factor IX, andCertolizumab pegol.

PEGylated proteins can be synthesized by a variety of methods such as areaction of protein with a PEG reagent having one or more reactivefunctional groups. The reactive functional groups on the PEG reagent canform a linkage with the protein at targeted protein sites such aslysine, histidine, cysteine, and the N-terminus. Typical PEGylationreagents have reactive functional groups such as aldehyde, maleimide, orsuccinimide groups that have specific reactivity with targeted aminoacid residues on proteins. The PEGylation reagents can have a PEG chainlength from about 1 to about 1000 PEG and/or PPG repeating units. Othermethods of PEGylation include glyco-PEGylation, where the protein isfirst glycosylated and then the glycosylated residues are PEGylated in asecond step. Certain PEGylation processes are assisted by enzymes likesialyltransferase and transglutaminase.

While the PEGylated proteins can offer therapeutic advantages overnative, non-PEGylated proteins, these materials can have physical orchemical properties that make them difficult to purify, dissolve,filter, concentrate, and administer. The PEGylation of a protein canlead to a higher solution viscosity compared to the native protein, andthis generally requires the formulation of PEGylated protein solutionsat lower concentrations.

It is desirable to formulate protein therapeutics in stable, lowviscosity solutions so they can be administered to patients in a minimalinjection volume. For example, the subcutaneous (SC) or intramuscular(IM) injection of drugs generally requires a small injection volume,preferably less than 2 mL. The SC and IM injection routes are wellsuited to self-administered care, and this is a less costly and moreaccessible form of treatment compared with intravenous (IV) injectionwhich is only conducted under direct medical supervision. Formulationsfor SC or IM injection require a low solution viscosity, generally below30 cP, and preferably below 20 cP, to allow easy flow of the therapeuticsolution through a narrow gauge needle with minimal injection force.This combination of small injection volume and low viscosityrequirements present a challenge to the use of PEGylated proteintherapeutics in SC or IM injection routes.

b. Non-Therapeutic Biopolymers Definitions

Those biopolymers used for non-therapeutic purposes (i.e., purposes notinvolving treatments), such as household, nutrition, commercial, andindustrial applications, may be termed “non-therapeutic biopolymers.”Those proteins used for non-therapeutic purposes may be termed“non-therapeutic proteins.” Formulations containing non-therapeuticproteins may be termed “non-therapeutic formulations.” Thenon-therapeutic proteins can be derived from plant sources, animalsources, or produced from cell cultures; they also can be enzymes orstructural proteins. The non-therapeutic proteins can be used in inhousehold, nutrition, commercial, and industrial applications such ascatalysts, human and animal nutrition, processing aids, cleaners, andwaste treatment.

An important category of non-therapeutic proteins is the category ofenzymes. Enzymes have a number of non-therapeutic applications, forexample, as catalysts, human and animal nutritional ingredients,processing aids, cleaners, and waste treatment agents. Enzyme catalystsare used to accelerate a variety of chemical reactions. Examples ofenzyme catalysts for non-therapeutic uses include catalases,oxidoreductases, transferases, hydrolases, lyases, isomerases, andligases. Human and animal nutritional uses of enzymes includenutraceuticals, nutritive sources of protein, chelation or controlleddelivery of micronutrients, digestion aids, and supplements; these canbe derived from amylase, protease, trypsin, lactase, and the like.Enzymatic processing aids are used to improve the production of food andbeverage products in operations like baking, brewing, fermenting, juiceprocessing, and winemaking. Examples of these food and beverageprocessing aids include amylases, cellulases, pectinases, glucanases,lipases, and lactases. Enzymes can also be used in the production ofbiofuels. Ethanol for biofuels, for example, can be aided by theenzymatic degradation of biomass feedstocks such as cellulosic andlignocellulosic materials. The treatment of such feedstock materialswith cellulases and ligninases transforms the biomass into a substratethat can be fermented into fuels. In other commercial applications,enzymes are used as detergents, cleaners, and stain lifting aids forlaundry, dish washing, surface cleaning, and equipment cleaningapplications. Typical enzymes for this purpose include proteases,cellulases, amylases, and lipases. In addition, non-therapeutic enzymesare used in a variety of commercial and industrial processes such astextile softening with cellulases, leather processing, waste treatment,contaminated sediment treatment, water treatment, pulp bleaching, andpulp softening and debonding. Typical enzymes for these purposes areamylases, xylanases, cellulases, and ligninases.

Other examples of non-therapeutic biopolymers include fibrous orstructural proteins such as keratins, collagen, gelatin, elastin,fibroin, actin, tubulin, or the hydrolyzed, degraded, or derivatizedforms thereof. These materials are used in the preparation andformulation of food ingredients such as gelatin, ice cream, yogurt, andconfections; they area also added to foods as thickeners, rheologymodifiers, mouthfeel improvers, and as a source of nutritional protein.In the cosmetics and personal care industry, collagen, elastin, keratin,and hydrolyzed keratin are widely used as ingredients in skin care andhair care formulations. Still other examples of non-therapeuticbiopolymers are whey proteins such as beta-lactoglobulin,alpha-lactalbumin, and serum albumin. These whey proteins are producedin mass scale as a byproduct from dairy operations and have been usedfor a variety of non-therapeutic applications.

2. Therapeutic Formulations

In one aspect, the formulations and methods disclosed herein providestable liquid formulations of improved or reduced viscosity, comprisinga therapeutic protein in a therapeutically effective amount and anexcipient compound. In embodiments, the formulation can improve thestability while providing an acceptable concentration of activeingredients and an acceptable viscosity. In embodiments, the formulationprovides an improvement in stability when compared to a controlformulation; for the purposes of this disclosure, a control formulationis a formulation containing the protein active ingredient that issubstantially similar on a dry weight basis to the therapeuticformulation except that it lacks the excipient compound. In embodiments,the formulation provides an improvement in stability under the stressconditions of long term storage, elevated temperatures such as 25-45°C., freeze/thaw conditions, shear or mixing, syringing, dilution, gasbubble exposure, oxygen exposure, light exposure, and lyophilization. Inembodiments, improved stability of the protein-containing formulation isin the form of lower percentage of soluble aggregates, particulates,subvisible particles, or gel formation, compared to a controlformulation. In embodiments, improved stability of theprotein-containing formulation is in the form of higher biologicalactivity compared to a control formulation. In embodiments, improvedstability of the protein-containing formulation is in the form ofimproved chemical stability, such as resistance to a chemical reactionsuch as hydrolysis, photolysis, oxidation, reduction, deamidation,disulfide scrambling, fragmentation, or dissociation. In embodiments,improved stability of the protein-containing formulation is manifestedby a decrease in the formation of visible particles, subvisibleparticles, aggregates, turbidity, opalescence, or gel.

It is understood that the viscosity of a liquid protein formulation canbe affected by a variety of factors, including but not limited to: thenature of the protein itself (e.g., enzyme, antibody, receptor, fusionprotein, etc.); its size, three-dimensional structure, chemicalcomposition, and molecular weight; its concentration in the formulation;the components of the formulation besides the protein; the desired pHrange; the storage conditions for the formulation; and the method ofadministering the formulation to the patient. Therapeutic proteins mostsuitable for use with the excipient compounds described herein arepreferably essentially pure, i.e., free from contaminating proteins. Inembodiments, an “essentially pure” therapeutic protein is a proteincomposition comprising at least 90% by weight of the therapeuticprotein, or preferably at least 95% by weight of therapeutic protein, ormore preferably, at least 99% by weight of the therapeutic protein, allbased on the total weight of therapeutic proteins and contaminatingproteins in the composition. For the purposes of clarity, a proteinadded as an excipient is not intended to be included in this definition.The therapeutic formulations described herein are intended for use aspharmaceutical-grade formulations, i.e., formulations intended for usein treating a mammal, in such a form that the desired therapeuticefficacy of the protein active ingredient can be achieved, and withoutcontaining components that are toxic to the mammal to whom theformulation is to be administered.

In embodiments, the therapeutic formulation contains at least 1 mg/mL ofprotein active ingredient. In other embodiments, the therapeuticformulation contains at least 10 mg/mL of protein active ingredient. Inother embodiments, the therapeutic formulation contains at least 50mg/mL of protein active ingredient. In other embodiments, thetherapeutic formulation contains at least 100 mg/mL of protein activeingredient. In yet other embodiments, the therapeutic formulationsolution contains at least 200 mg/mL of protein active ingredient.Generally, the excipient compounds disclosed herein are added to thetherapeutic formulation in an amount between about 0.001 to about 60mg/mL. In embodiments, the excipient compound can be added in an amountof about 0.1 to about 50 mg/mL. In embodiments, the excipient compoundcan be added in an amount of about 1 to about 40 mg/mL. In embodiments,the excipient can be added in an amount of about 5 to about 30 mg/mL.

In certain embodiments, the therapeutic formulation solution contains atleast 300 mg/mL of protein active ingredient. In certain aspects, theexcipient compounds disclosed herein are added to the therapeuticformulation in an amount between about 1 to about 300 mg/mL. Inembodiments, the excipient compound can be added in an amount of about 5to about 100 mg/mL. In embodiments, the excipient compound can be addedin an amount of about 10 to about 75 mg/mL. In embodiments, theexcipient can be added in an amount of about 15 to about 50 mg/mL.

Excipient compounds of various molecular weights are selected forspecific advantageous properties when combined with the protein activeingredient in a formulation. Examples of therapeutic formulationscomprising excipient compounds are provided below. In embodiments, theexcipient compound has a molecular weight of <5000 Da. In embodiments,the excipient compound has a molecular weight of <1000 Da. Inembodiments, the excipient compound has a molecular weight of <500 Da.

In embodiments, an excipient compound as disclosed herein is added tothe therapeutic formulation in a viscosity-reducing amount. Inembodiments, a viscosity-reducing amount is the amount of an excipientcompound that reduces the viscosity of the formulation at least 10% whencompared to a control formulation; for the purposes of this disclosure,a control formulation is a formulation containing the protein activeingredient that is substantially similar on a dry weight basis to thetherapeutic formulation except that it lacks the excipient compound. Inembodiments, the viscosity-reducing amount is the amount of an excipientcompound that reduces the viscosity of the formulation at least 30% whencompared to the control formulation. In embodiments, theviscosity-reducing amount is the amount of an excipient compound thatreduces the viscosity of the formulation at least 50% when compared tothe control formulation. In embodiments, the viscosity-reducing amountis the amount of an excipient compound that reduces the viscosity of theformulation at least 70% when compared to the control formulation. Inembodiments, the viscosity-reducing amount is the amount of an excipientcompound that reduces the viscosity of the formulation at least 90% whencompared to the control formulation.

In embodiments, the viscosity-reducing amount yields a therapeuticformulation having a viscosity of less than 100 cP. In otherembodiments, the therapeutic formulation has a viscosity of less than 50cP. In other embodiments, the therapeutic formulation has a viscosity ofless than 20 cP. In yet other embodiments, the therapeutic formulationhas a viscosity of less than 10 cP. The term “viscosity” as used hereinrefers to a dynamic viscosity value when measured by the methodsdisclosed herein.

In embodiments, the therapeutic formulations are administered to apatient at high concentration of therapeutic protein. In embodiments,the therapeutic formulations are administered to patients in a smallerinjection volume and/or with less discomfort than would be experiencedwith a similar formulation lacking the therapeutic excipient. Inembodiments, the therapeutic formulations are administered to patientsusing a narrower gauge needle, or less syringe force that would berequired with a similar formulation lacking the therapeutic excipient.In embodiments, the therapeutic formulations are administered as a depotinjection. In embodiments, the therapeutic formulations extend thehalf-life of the therapeutic protein in the body. These features oftherapeutic formulations as disclosed herein would permit theadministration of such formulations by intramuscular or subcutaneousinjection in a clinical situation, i.e., a situation where patientacceptance of an intramuscular injection would include the use ofsmall-bore needles typical for IM/SC purposes and the use of a tolerable(for example, 2-3 cc) injected volume, and where these conditions resultin the administration of an effective amount of the formulation in asingle injection at a single injection site. By contrast, injection of acomparable dosage amount of the therapeutic protein using conventionalformulation techniques would be limited by the higher viscosity of theconventional formulation, so that a SC/IM injection of the conventionalformulation would not be suitable for a clinical situation.

Therapeutic formulations in accordance with this disclosure can havecertain advantageous properties consistent with improved stability. Inembodiments, the therapeutic formulations are resistant to sheardegradation, phase separation, clouding out, precipitation, oxidation,deamidation, aggregation, and/or denaturing. In embodiments, thetherapeutic formulations are processed, purified, stored, syringed,dosed, filtered, and/or centrifuged more effectively, compared with acontrol formulation.

In embodiments, the therapeutic formulations disclosed herein areresistant to monomer loss as measured by size exclusion chromatography(SEC) analysis. In SEC analysis, the main analyte peak is generallyassociated with the active component of the formulation, such as atherapeutic protein, and this main peak of the active component isreferred to as the monomer peak. The monomer peak represents the amountof active component in the monomeric state, as opposed to aggregated(dimeric, trimeric, oligomeric, etc.) or fragmented states. The monomerpeak area can be compared with the total area of the monomer, aggregate,and fragment peaks associated with the protein. Thus, the stability of atherapeutic formulation can be observed by the relative amount ofmonomer after an elapsed time. In embodiments, an ideal stability resultis to have from 98 to 100% monomer peak as determined by SEC analysis.In embodiments, an improvement in stability of a therapeutic formulationas disclosed herein can be measured as a higher percent monomer after acertain elapsed time, as compared to the percent monomer in a controlformulation that does not contain the excipient. In embodiments, animprovement in stability of a therapeutic formulation as disclosedherein can be measured as a higher percent monomer after exposure to astress condition, as compared to the percent monomer in a controlformulation that does not contain the excipient after exposure to thestress condition. In embodiments, the stress conditions can be a lowtemperature storage, high temperature storage, exposure to air, exposureto gas bubbles, exposure to shear conditions, or exposure to freeze/thawcycles.

In embodiments, the therapeutic formulations of the invention areresistant to an increase in protein particle size as measured by dynamiclight scattering (DLS) analysis. In DLS analysis, the particle size ofthe therapeutic protein can be observed as a median particle diameter.Ideally, the median particle diameter of the therapeutic protein shouldbe relatively unchanged since the particle diameter represents theactive component in the monomeric state, as opposed to aggregated(dimeric, trimeric, oligomeric, etc.) or fragmented states. An increaseof the median particle diameter, therefore, can represent an aggregatedprotein. Thus, the stability of a therapeutic formulation can beobserved by the relative change in median particle diameter after anelapsed time. In embodiments, the therapeutic formulations as disclosedherein are resistant to forming a polydisperse particle sizedistribution as measured by dynamic light scattering (DLS) analysis. Inembodiments, a therapeutic protein formulation can contain amonodisperse particle size distribution of colloidal protein particles.In embodiments, an ideal stability result is to have less than a 10%change in the median particle diameter compared to the initial medianparticle diameter of the formulation. In embodiments, an improvement instability of a therapeutic formulation of the invention can be measuredas a lower percent change of the median particle diameter after acertain elapsed time, as compared to the median particle diameter in acontrol formulation that does not contain the excipient. In embodiments,an improvement in stability of a therapeutic formulation as disclosedherein can be measured as a lower percent change of the median particlediameter after exposure to a stress condition, as compared to thepercent change of the median particle diameter in a control formulationthat does not contain the excipient. In other words, in embodiments,improved stability prevents an increase in particle size as measured bylight scattering. In embodiments, the stress conditions can be a lowtemperature storage, high temperature storage, exposure to air, exposureto gas bubbles, exposure to shear conditions, or exposure to freeze/thawcycles. In embodiments, an improvement in stability of a therapeuticformulation as disclosed herein can be measured as a less polydisperseparticle size distribution as measured by DLS, as compared to thepolydispersity of the particle size distribution in a controlformulation that does not contain the excipient.

In embodiments, the therapeutic formulations as disclosed herein areresistant to precipitation as measured by turbidity, light scattering,or particle counting analysis. In turbidity, light scattering, orparticle counting analysis, a lower value generally represents a lowernumber of suspended particles in a formulation. An increase ofturbidity, light scattering, or particle counting can indicate that thesolution of the therapeutic protein is not stable. Thus, the stabilityof a therapeutic formulation can be observed by the relative amount ofturbidity, light scattering, or particle counting after an elapsed time.In embodiments, an ideal stability result is to have a low andrelatively constant turbidity, light scattering, or particle countingvalue. In embodiments, an improvement in stability of a therapeuticformulation as disclosed herein can be measured as a lower turbidity,lower light scattering, or lower particle count after a certain elapsedtime, as compared to the turbidity, light scattering, or particle countvalues in a control formulation that does not contain the excipient. Inembodiments, an improvement in stability of a therapeutic formulation asdisclosed herein can be measured as a lower turbidity, lower lightscattering, or lower particle count after exposure to a stresscondition, as compared to the turbidity, light scattering, or particlecount in a control formulation that does not contain the excipient. Inembodiments, the stress conditions can be a low temperature storage,high temperature storage, exposure to air, exposure to gas bubbles,exposure to shear conditions, or exposure to freeze/thaw cycles.

In embodiments, the therapeutic excipient has antioxidant propertiesthat stabilize the therapeutic protein against oxidative damage. Inembodiments, the therapeutic formulation is stored at ambienttemperatures, or for extended time at refrigerator conditions withoutappreciable loss of potency for the therapeutic protein. In embodiments,the therapeutic formulation is dried down for storage until it isneeded; then it is reconstituted with an appropriate solvent, e.g.,water. Advantageously, the formulations prepared as described herein canbe stable over a prolonged period of time, from months to years. Whenexceptionally long periods of storage are desired, the formulations canbe preserved in a freezer (and later reactivated) without fear ofprotein denaturation. In embodiments, formulations can be prepared forlong-term storage that do not require refrigeration.

In embodiments, the excipient compounds disclosed herein are added tothe therapeutic formulation in a stability-improving amount. Inembodiments, a stability-improving amount is the amount of an excipientcompound that reduces the degradation of the formulation at least 10%when compared to a control formulation; for the purposes of thisdisclosure, a control formulation is a formulation containing theprotein active ingredient that is substantially similar on a weightbasis to the therapeutic formulation except that it lacks the excipientcompound. In embodiments, the stability-improving amount is the amountof an excipient compound that reduces the degradation of the formulationat least 30% when compared to the control formulation. In embodiments,the stability-improving amount is the amount of an excipient compoundthat reduces the degradation of the formulation at least 50% whencompared to the control formulation. In embodiments, thestability-improving amount is the amount of an excipient compound thatreduces the degradation of the formulation at least 70% when compared tothe control formulation. In embodiments, the stability-improving amountis the amount of an excipient compound that reduces the degradation ofthe formulation at least 90% when compared to the control formulation.

Methods for preparing therapeutic formulations may be familiar toskilled artisans. The therapeutic formulations of the present inventioncan be prepared, for example, by adding the excipient compound to theformulation before or after the therapeutic protein is added to thesolution. The therapeutic formulation can, for example, be produced bycombining the therapeutic protein and the excipient at a first (lower)concentration and then processed by filtration or centrifugation toproduce a second (higher) concentration of the therapeutic protein.Therapeutic formulations can be made with one or more of the excipientcompounds with chaotropes, kosmotropes, hydrotropes, and salts.Therapeutic formulations can be made with one or more of the excipientcompounds using techniques such as encapsulation, dispersion, liposome,vesicle formation, and the like. Methods for preparing therapeuticformulations comprising the excipient compounds disclosed herein caninclude combinations of the excipient compounds. In embodiments,combinations of excipients can produce benefits in lower viscosity,improved stability, or reduced injection site pain. Other additives maybe introduced into the therapeutic formulations during theirmanufacture, including preservatives, surfactants, sugars, sucrose,trehalose, polysaccharides, arginine, proline, hyaluronidase,stabilizers, buffers, and the like. As used herein, a pharmaceuticallyacceptable excipient compound is one that is non-toxic and suitable foranimal and/or human administration.

3. Non-Therapeutic Formulations

In one aspect, the formulations and methods disclosed herein providestable liquid formulations of improved or reduced viscosity, comprisinga non-therapeutic protein in an effective amount and an excipientcompound. In embodiments, the formulation improves the stability whileproviding an acceptable concentration of active ingredients and anacceptable viscosity. In embodiments, the formulation provides animprovement in stability when compared to a control formulation; for thepurposes of this disclosure, a control formulation is a formulationcontaining the protein active ingredient that is substantially similaron a dry weight basis to the non-therapeutic formulation except that itlacks the excipient compound.

It is understood that the viscosity of a liquid protein formulation canbe affected by a variety of factors, including but not limited to: thenature of the protein itself (e.g., enzyme, structural protein, degreeof hydrolysis, etc.); its size, three-dimensional structure, chemicalcomposition, and molecular weight; its concentration in the formulation;the components of the formulation besides the protein; the desired pHrange; and the storage conditions for the formulation.

In embodiments, the non-therapeutic formulation contains at least 25mg/mL of protein active ingredient. In other embodiments, thenon-therapeutic formulation contains at least 100 mg/mL of proteinactive ingredient. In other embodiments, the non-therapeutic formulationcontains at least 200 mg/mL of protein active ingredient. In yet otherembodiments, the non-therapeutic formulation solution contains at least300 mg/mL of protein active ingredient. Generally, the excipientcompounds disclosed herein are added to the non-therapeutic formulationin an amount between about 0.001 to about 60 mg/mL. In embodiments, theexcipient compound is added in an amount of about 0.1 to about 50 mg/mL.In embodiments, the excipient compound is added in an amount of about 1to about 40 mg/mL. In embodiments, the excipient is added in an amountof about 5 to about 30 mg/mL.

In certain aspects, the excipient compounds disclosed herein are addedto the non-therapeutic formulation in an amount between about 5 to about300 mg/mL. In embodiments, the excipient compound is added in an amountof about 10 to about 200 mg/mL. In embodiments, the excipient compoundis added in an amount of about 20 to about 100 mg/mL. In embodiments,the excipient is added in an amount of about 25 to about 75 mg/mL.

Excipient compounds of various molecular weights are selected forspecific advantageous properties when combined with the protein activeingredient in a formulation. Examples of non-therapeutic formulationscomprising excipient compounds are provided below. In embodiments, theexcipient compound has a molecular weight of <5000 Da. In embodiments,the excipient compound has a molecular weight of <1000 Da. Inembodiments, the excipient compound has a molecular weight of <500 Da.

In embodiments, an excipient compound as disclosed herein is added tothe non-therapeutic formulation in a viscosity-reducing amount. Inembodiments, a viscosity-reducing amount is the amount of an excipientcompound that reduces the viscosity of the formulation at least 10% whencompared to a control formulation; for the purposes of this disclosure,a control formulation is a formulation containing the protein activeingredient that is substantially similar on a dry weight basis to thetherapeutic formulation except that it lacks the excipient compound. Inembodiments, the viscosity-reducing amount is the amount of an excipientcompound that reduces the viscosity of the formulation at least 30% whencompared to the control formulation. In embodiments, theviscosity-reducing amount is the amount of an excipient compound thatreduces the viscosity of the formulation at least 50% when compared tothe control formulation. In embodiments, the viscosity-reducing amountis the amount of an excipient compound that reduces the viscosity of theformulation at least 70% when compared to the control formulation. Inembodiments, the viscosity-reducing amount is the amount of an excipientcompound that reduces the viscosity of the formulation at least 90% whencompared to the control formulation.

In embodiments, the viscosity-reducing amount yields a non-therapeuticformulation having a viscosity of less than 100 cP. In otherembodiments, the non-therapeutic formulation has a viscosity of lessthan 50 cP. In other embodiments, the non-therapeutic formulation has aviscosity of less than 20 cP. In yet other embodiments, thenon-therapeutic formulation has a viscosity of less than 10 cP. The term“viscosity” as used herein refers to a dynamic viscosity value.

Non-therapeutic formulations in accordance with this disclosure can havecertain advantageous properties. In embodiments, the non-therapeuticformulations are resistant to shear degradation, phase separation,clouding out, precipitation, and denaturing. In embodiments, thetherapeutic formulations can be processed, purified, stored, pumped,filtered, and centrifuged more effectively, compared with a controlformulation.

In embodiments, the non-therapeutic excipient has antioxidant propertiesthat stabilize the non-therapeutic protein against oxidative damage. Inembodiments, the non-therapeutic formulation is stored at ambienttemperatures, or for extended time at refrigerator conditions withoutappreciable loss of potency for the non-therapeutic protein. Inembodiments, the non-therapeutic formulation is dried down for storageuntil it is needed; then it can be reconstituted with an appropriatesolvent, e.g., water. Advantageously, the formulations prepared asdescribed herein is stable over a prolonged period of time, from monthsto years. When exceptionally long periods of storage are desired, theformulations are preserved in a freezer (and later reactivated) withoutfear of protein denaturation. In embodiments, formulations are preparedfor long-term storage that do not require refrigeration.

In embodiments, the excipient compounds disclosed herein are added tothe non-therapeutic formulation in a stability-improving amount. Inembodiments, a stability-improving amount is the amount of an excipientcompound that reduces the degradation of the formulation at least 10%when compared to a control formulation; for the purposes of thisdisclosure, a control formulation is a formulation containing theprotein active ingredient that is substantially similar on a dry weightbasis to the therapeutic formulation except that it lacks the excipientcompound. In embodiments, the stability-improving amount is the amountof an excipient compound that reduces the degradation of the formulationat least 30% when compared to the control formulation. In embodiments,the stability-improving amount is the amount of an excipient compoundthat reduces the degradation of the formulation at least 50% whencompared to the control formulation. In embodiments, thestability-improving amount is the amount of an excipient compound thatreduces the degradation of the formulation at least 70% when compared tothe control formulation. In embodiments, the stability-improving amountis the amount of an excipient compound that reduces the degradation ofthe formulation at least 90% when compared to the control formulation.

Methods for preparing non-therapeutic formulations comprising theexcipient compounds disclosed herein may be familiar to skilledartisans. For example, the excipient compound can be added to theformulation before or after the non-therapeutic protein is added to thesolution. The non-therapeutic formulation can be produced at a first(lower) concentration and then processed by filtration or centrifugationto produce a second (higher) concentration. Non-therapeutic formulationscan be made with one or more of the excipient compounds with chaotropes,kosmotropes, hydrotropes, and salts. Non-therapeutic formulations can bemade with one or more of the excipient compounds using techniques suchas encapsulation, dispersion, liposome, vesicle formation, and the like.Other additives can be introduced into the non-therapeutic formulationsduring their manufacture, including preservatives, surfactants,stabilizers, and the like.

4. Excipient Compounds

Several excipient compounds are described herein, each suitable for usewith one or more therapeutic or non-therapeutic proteins, and eachallowing the formulation to be composed so that it contains theprotein(s) at a high concentration. Some of the categories of excipientcompounds described below are: (1) hindered amines; (2) aromatics; (3)functionalized amino acids; (4) oligopeptides; (5) short-chain organicacids; (6) low-molecular-weight aliphatic polyacids; and (7) diones andsulfones. Without being bound by theory, the excipient compoundsdescribed herein are thought to associate with certain fragments,sequences, structures, or sections of a therapeutic protein thatotherwise would be involved in inter-particle (i.e., protein-protein)interactions. The association of these excipient compounds with thetherapeutic or non-therapeutic protein can mask the inter-proteininteractions such that the proteins can be formulated in highconcentration without causing excessive solution viscosity. Inembodiments, the excipient compound can result in more stableprotein-protein interaction; protein-protein interaction can be measuredby the protein diffusion parameter kD, or the osmotic second virialcoefficient B22, or by other techniques familiar to skilled artisans.

Excipient compounds advantageously can be water-soluble, thereforesuitable for use with aqueous vehicles. In embodiments, the excipientcompounds have a water solubility of >1 mg/mL. In embodiments, theexcipient compounds have a water solubility of >10 mg/mL. Inembodiments, the excipient compounds have a water solubility of >100mg/mL. In embodiments, the excipient compounds have a water solubilityof >500 mg/mL.

Advantageously for therapeutic protein formulations, the excipientcompounds can be derived from materials that are biologically acceptableand are non-immunogenic, and are thus suitable for pharmaceutical use.In therapeutic embodiments, the excipient compounds can be metabolizedin the body to yield biologically compatible and non-immunogenicbyproducts.

a. Excipient Compound Category 1: Hindered Amines

High concentration solutions of therapeutic or non-therapeutic proteinscan be formulated with hindered amine small molecules as excipientcompounds. As used herein, the term “hindered amine” refers to a smallmolecule containing at least one bulky or sterically hindered group,consistent with the examples below. Hindered amines can be used in thefree base form, in the protonated form, or a combination of the two. Inprotonated forms, the hindered amines can be associated with an anioniccounterion such as chloride, hydroxide, bromide, iodide, fluoride,acetate, formate, phosphate, sulfate, or carboxylate. Hindered aminecompounds useful as excipient compounds can contain secondary amine,tertiary amine, quaternary ammonium, pyridinium, pyrrolidone,pyrrolidine, piperidine, morpholine, or guanidinium groups, such thatthe excipient compound has a cationic charge in aqueous solution atneutral pH. The hindered amine compounds also contain at least one bulkyor sterically hindered group, such as cyclic aromatic, cycloaliphatic,cyclohexyl, or alkyl groups. In embodiments, the sterically hinderedgroup can itself be an amine group such as a dialkylamine,trialkylamine, guanidinium, pyridinium, or quaternary ammonium group.Without being bound by theory, the hindered amine compounds are thoughtto associate with aromatic sections of the proteins such asphenylalanine, tryptophan, and tyrosine, by a cation pi interaction. Inembodiments, the cationic group of the hindered amine can have anaffinity for the electron rich pi structure of the aromatic amino acidresidues in the protein, so that they can shield these sections of theprotein, thereby decreasing the tendency of such shielded proteins toassociate and agglomerate.

In embodiments, the hindered amine excipient compounds has a chemicalstructure comprising imidazole, imidazoline, or imidazolidine groups, orsalts thereof, such as imidazole, 1-methylimidazole, 4-methylimidazole,1-hexyl-3-methylimidazolium chloride, histamine, 4-methylhistamine,alpha-methylhistamine, betahistine, beta-alanine,2-methyl-2-imidazoline, 1-butyl-3-methylimidazolium chloride, uric acid,potassium urate, betazole, carnosine, aspartame, saccharin, acesulfamepotassium, xanthine, theophylline, theobromine, caffeine, and anserine.In embodiments, the hindered amine excipient compounds is selected fromthe group consisting of dimethylethanolamine, dimethylaminopropylamine,triethanolamine, dimethylbenzylamine, dimethylcyclohexylamine,diethylcyclohexylamine, dicyclohexylmethylamine, hexamethylenebiguanide, poly(hexamethylene biguanide), imidazole, dimethylglycine,agmatine, diazabicyclo[2.2.2]octane, tetramethylethylenediamine,N,N-dimethylethanolamine, ethanolamine phosphate, glucosamine, cholinechloride, phosphocholine, niacinamide, isonicotinamide, N,N-diethylnicotinamide, nicotinic acid sodium salt, tyramine, 3-aminopyridine,2,4,6-trimethylpyridine, 3-pyridine methanol, nicotinamide adenosinedinucleotide, biotin, morpholine, N-methylpyrrolidone, 2-pyrrolidinone,procaine, lidocaine, dicyandiamide-taurine adduct, 2-pyridylethylamine,dicyandiamide-benzyl amine adduct, dicyandiamide-alkylamine adduct,dicyandiamide-cycloalkylamine adduct, anddicyandiamide-aminomethanephosphonic acid adducts. In embodiments, ahindered amine compound consistent with this disclosure is formulated asa protonated ammonium salt. In embodiments, a hindered amine compoundconsistent with this disclosure is formulated as a salt with aninorganic anion or organic anion as the counterion. In embodiments, highconcentration solutions of therapeutic or non-therapeutic proteins areformulated with a combination of caffeine with a benzoic acid, ahydroxybenzoic acid, or a benzenesulfonic acid as excipient compounds.In embodiments, the hindered amine excipient compounds are metabolizedin the body to yield biologically compatible byproducts. In someembodiments, the hindered amine excipient compound is present in theformulation at a concentration of about 250 mg/ml or less. In additionalembodiments, the hindered amine excipient compound is present in theformulation at a concentration of about 10 mg/ml to about 200 mg/ml. Inyet additional aspects, the hindered amine excipient compound is presentin the formulation at a concentration of about 20 to about 120 mg/ml.

In embodiments, viscosity-reducing excipients in this hindered aminecategory may include methylxanthines such as caffeine and theophylline,although their use has typically been limited due to their low watersolubility. In some applications it may be advantageous to have higherconcentrated solutions of these viscosity-reducing excipients despitetheir low water solubility. For example, in processing it may beadvantageous to have a concentrated excipient solution that can be addedto a concentrated protein solution so that adding the excipient does notdilute the protein below the desired final concentration. In othercases, despite its low water solubility, additional viscosity-reducingexcipient may be necessary to achieve the desired viscosity reduction,stability, tonicity etc. of a final protein formulation. In embodiments,a highly concentrated excipient solution may be formulated (i) as aviscosity-reducing excipient at a concentration 1.5 to 50 times higherthan the effective viscosity-reducing amount, or (ii) as aviscosity-reducing excipient at a concentration 1.5 to 50 times higherthan its literature reported solubility in pure water at 298 K (e.g., asreported in The Merck Index; Royal Society of Chemistry; FifteenthEdition, (Apr. 30, 2013)), or both.

Certain co-solutes have been found to substantially increase thesolubility limit of these low solubility viscosity-reducing excipients,allowing for excipient solutions at concentrations multiple times higherthan literature reported solubility values. These co-solutes can beclassified under the general category of hydrotropes. Co-solutes foundto provide the greatest improvement in solubility for this applicationwere generally highly soluble in water (>0.25 M) at ambient temperatureand physiological pH, and contained either a pyridine or benzene ring.Examples of compounds that may be useful as co-solutes include anilineHCl, isoniacinamide, niacinamide, n-methyltyramine HCl, phenol, procaineHCl, resorcinol, saccharin calcium salt, saccharin sodium salt, sodiumaminobenzoic acid, sodium benzoate, sodium parahydroxybenzoate, sodiummetahydroxybenzoate, sodium 2,5-dihydroxybenzoate, sodium salicylate,sodium sulfanilate, sodium parahydroxybenzene sulfonate, synephrine, andtyramine HCl.

In embodiments, certain hindered amine excipient compounds can possessother pharmacological properties. As examples, xanthines are a categoryof hindered amines having independent pharmacological properties,including stimulant properties and bronchodilator properties whensystemically absorbed. Representative xanthines include caffeine,aminophylline, 3-isobutyl-1-methylxanthine, paraxanthine,pentoxifylline, theobromine, theophylline, and the like. Methylatedxanthines are understood to affect force of cardiac contraction, heartrate, and bronchodilation. In some embodiments, the xanthine excipientcompound is present in the formulation at a concentration of about 30mg/ml or less.

Another category of hindered amines having independent pharmacologicalproperties are the local injectable anesthetic compounds. Localinjectable anesthetic compounds are hindered amines that have athree-component molecular structure of (a) a lipophilic aromatic ring,(b) an intermediate ester or amide linkage, and (c) a secondary ortertiary amine. This category of hindered amines is understood tointerrupt neural conduction by inhibiting the influx of sodium ions,thereby inducing local anesthesia. The lipophilic aromatic ring for alocal anesthetic compound may be formed of carbon atoms (e.g., a benzenering) or it may comprise heteroatoms (e.g., a thiophene ring).Representative local injectable anesthetic compounds include, but arenot limited to, amylocaine, articaine, bupivicaine, butacaine,butanilicaine, chlorprocaine, cocaine, cyclomethycaine, dimethocaine,editocaine, hexylcaine, isobucaine, levobupivacaine, lidocaine,metabutethamine, metabutoxycaine, mepivacaine, meprylcaine,propoxycaine, prilocaine, procaine, piperocaine, tetracaine, trimecaine,and the like. The local injectable anesthetic compounds can havemultiple benefits in protein therapeutic formulations, such as reducedviscosity, improved stability, and reduced pain upon injection. In someembodiments, the local anesthetic compound is present in the formulationin a concentration of about 50 mg/ml or less.

In embodiments, a hindered amine having independent pharmacologicalproperties is used as an excipient compound in accordance with theformulations and methods described herein. In some embodiments, theexcipient compounds possessing independent pharmacological propertiesare present in an amount that does not have a pharmacological effectand/or that is not therapeutically effective. In other embodiments, theexcipient compounds possessing independent pharmacological propertiesare present in an amount that does have a pharmacological effect and/orthat is therapeutically effective. In certain embodiments, a hinderedamine having independent pharmacological properties is used incombination with another excipient compound that has been selected todecrease formulation viscosity, where the hindered amine havingindependent pharmacological properties is used to impart the benefits ofits pharmacological activity. For example, a local injectable anestheticcompound can be used to decrease formulation viscosity and also toreduce pain upon injection of the formulation. The reduction ofinjection pain can be caused by anesthetic properties; also a lowerinjection force can be required when the viscosity is reduced by theexcipients. Alternatively, a local injectable anesthetic compound can beused to impart the desirable pharmacological benefit of decreased localsensation during formulation injection, while being combined withanother excipient compound that reduces the viscosity of theformulation.

b. Excipient Compound Category 2: Aromatics

High concentration solutions of therapeutic or non-therapeutic proteinscan be formulated with aromatic small molecule compounds as excipientcompounds. The aromatic excipient compounds can contain an aromaticfunctional group such as phenyl, benzyl, aryl, alkylbenzyl,hydroxybenzyl, phenolic, hydroxyaryl, heteroaromatic group, or a fusedaromatic group. The aromatic excipient compounds also can contain afunctional group such as carboxylate, oxide, phenoxide, sulfonate,sulfate, phosphonate, phosphate, or sulfide. Aromatic excipients can beanionic, cationic, or uncharged.

A charged aromatic excipient can be described as an acid, a base, or asalt (as applicable), and it can exist in a variety of salt forms.Without being bound by theory, a charged aromatic excipient compound isthought to be a bulky, sterically hindered molecule that can associatewith oppositely charged segments of a protein, so that they can shieldthese sections of the protein, thereby decreasing the interactionsbetween protein molecules that render the protein-containing formulationviscous.

In embodiments, examples of aromatic excipient compounds include anionicaromatic compounds such as salicylic acid, aminosalicylic acid,hydroxybenzoic acid, aminobenzoic acid, para-aminobenzoic acid,benzenesulfonic acid, hydroxybenzenesulfonic acid, naphthalenesulfonicacid, naphthalenedisulfonic acid, hydroquinone sulfonic acid, sulfanilicacid, vanillic acid, vanillin, vanillin-taurine adduct, aminophenol,anthranilic acid, cinnamic acid, coumaric acid, adenosine monophosphate,indole acetic acid, potassium urate, furan dicarboxylic acid,furan-2-acrylic acid, 2-furanpropionic acid, sodium phenylpyruvate,sodium hydroxyphenylpyruvate, dihydroxybenzoic acid, trihydroxybenzoicacid, pyrogallol, benzoic acid, and the salts of the foregoing acids. Inembodiments, the anionic aromatic excipient compounds are formulated inthe ionized salt form. In embodiments, an anionic aromatic compound isformulated as the salt of a hindered amine, such asdimethylcyclohexylammonium hydroxybenzoate. In embodiments, the anionicaromatic excipient compounds are formulated with various counterionssuch as organic cations. In embodiments, high concentration solutions oftherapeutic or non-therapeutic proteins are formulated with anionicaromatic excipient compounds and caffeine. In embodiments, the anionicaromatic excipient compound is metabolized in the body to yieldbiologically compatible byproducts.

In embodiments, examples of aromatic excipient compounds include phenolsand polyphenols. As used herein, the term “phenol” refers an organicmolecule that consists of at least one aromatic group or fused aromaticgroup bonded to at least one hydroxyl group and the term “polyphenol”refers to an organic molecule that consists of more than one phenolgroup. Such excipients can be advantageous under certain circumstances,for example when used in formulations with high concentration solutionsof therapeutic or nontherapeutic PEGylated proteins to lower solutionviscosity. Non-limiting examples of phenols include the benzenediolsresorcinol (1,3-benzenediol), catechol (1,2-benzenediol) andhydroquinone (1,4-benzenediol), the benzenetriols hydroxyquinol(1,2,4-benzenetriol), pyrogallol (1,2,3-benzenetriol), andphloroglucinol (1,3,5-benzenetriol), the benzenetetrols1,2,3,4-Benzenetetrol and 1,2,3,5-Benzenetetrol, and benzenepentol andbenzenehexol. Non-limiting examples of polyphenols include tannic acid,ellagic acid, epigallocatechin gallate, catechin, tannins,ellagitannins, and gallotannins. More generally, phenolic andpolyphenolic compounds include, but are not limited to, flavonoids,lignans, phenolic acids, and stilbenes. Flavonoid compounds include, butare not limited to, anthocyanins, chalcones, dihydrochalcones,dihydroflavanols, flavanols, flavanones, flavones, flavonols, andisoflavonoids. Phenolic acids include, but are not limited to,hydroxybenzoic acids, hydroxycinnamic acids, hydroxyphenylacetic acids,hydroxyphenylpropanoic acids, and hydroxyphenylpentanoic acids. Otherpolyphenolic compounds include, but are not limited to,alkylmethoxyphenols, alkylphenols, curcuminoids, hydroxybenzaldehydes,hydroxybenzoketones, hydroxycinnamaldehydes, hydroxycoumarins,hydroxyphenylpropenes, methoxyphenols, naphtoquinones, hydroquinones,phenolic terpenes, resveratrol, and tyrosols. In embodiments, thepolyphenol is tannic acid. In embodiments, the phenol is gallic acid. Inembodiments, the phenol is pyrogallol. In embodiments, the phenol isresorcinol. Without being bound by theory, the hydroxyl groups ofphenolic compounds, e.g., gallic acid, pyrogallol, and resorcinol, formhydrogen bonds with ether oxygen atoms in the backbone of the PEG chainand thus form a phenol/PEG complex that fundamentally alters the PEGsolution structure such that the solution viscosity is reduced.Polyphenolic compounds, such as tannic acid, derive theirviscosity-reducing properties from their respective phenol groupbuilding blocks, such as gallic acid, pyrogallol, and resorcinol. Thespecific organization of the phenol groups within a polyphenoliccompound can give rise to complex behavior in which a viscosityreduction attained by the addition of a phenol is enhanced by theaddition of a lower quantity of the respective polyphenol.

c. Excipient Compound Category 3: Functionalized Amino Acids

High concentration solutions of therapeutic or non-therapeutic proteinscan be formulated with one or more functionalized amino acids, where asingle functionalized amino acid or an oligopeptide comprising one ormore functionalized amino acids may be used as the excipient compound.In embodiments, the functionalized amino acid compounds comprisemolecules (“amino acid precursors”) that can be hydrolyzed ormetabolized to yield amino acids. In embodiments, the functionalizedamino acids can contain an aromatic functional group such as phenyl,benzyl, aryl, alkylbenzyl, hydroxybenzyl, hydroxyaryl, heteroaromaticgroup, or a fused aromatic group. In embodiments, the functionalizedamino acid compounds can contain esterified amino acids, such as methyl,ethyl, propyl, butyl, benzyl, cycloalkyl, glyceryl, hydroxyethyl,hydroxypropyl, PEG, and PPG esters. In embodiments, the functionalizedamino acid compounds are selected from the group consisting of arginineethyl ester, arginine methyl ester, arginine hydroxyethyl ester, andarginine hydroxypropyl ester. In embodiments, the functionalized aminoacid compound is a charged ionic compound in aqueous solution at neutralpH. For example, a single amino acid can be derivatized by forming anester, like an acetate or a benzoate, and the hydrolysis products wouldbe acetic acid or benzoic acid, both natural materials, plus the aminoacid. In embodiments, the functionalized amino acid excipient compoundsare metabolized in the body to yield biologically compatible byproducts.

d. Excipient Compound Category 4: Oligopeptides

High concentration solutions of therapeutic or non-therapeutic proteinscan be formulated with oligopeptides as excipient compounds. Inembodiments, the oligopeptide is designed such that the structure has acharged section and a bulky section. In embodiments, the oligopeptidesconsist of between 2 and 10 peptide subunits. The oligopeptide can bebi-functional, for example a cationic amino acid coupled to a non-polarone, or an anionic one coupled to a non-polar one. In embodiments, theoligopeptides consist of between 2 and 5 peptide subunits. Inembodiments, the oligopeptides are homopeptides such as polyglutamicacid, polyaspartic acid, poly-lysine, poly-arginine, and poly-histidine.In embodiments, the oligopeptides have a net cationic charge. In otherembodiments, the oligopeptides are heteropeptides, such as Trp2Lys3. Inembodiments, the oligopeptide can have an alternating structure such asan ABA repeating pattern. In embodiments, the oligopeptide can containboth anionic and cationic amino acids, for example, Arg-Glu. Withoutbeing bound by theory, the oligopeptides comprise structures that canassociate with proteins in such a way that it reduces the intermolecularinteractions that lead to high viscosity solutions; for example, theoligopeptide-protein association can be a charge-charge interaction,leaving a somewhat non-polar amino acid to disrupt hydrogen bonding ofthe hydration layer around the protein, thus lowering viscosity. In someembodiments, the oligopeptide excipient is present in the composition ina concentration of about 50 mg/ml or less.

e. Excipient Compound Category 5: Short-Chain Organic Acids

As used herein, the term “short-chain organic acids” refers to C2-C6organic acid compounds and the salts, esters, or lactones thereof. Thiscategory includes saturated and unsaturated carboxylic acids, hydroxyfunctionalized carboxylic acids, and linear, branched, or cycliccarboxylic acids. In embodiments, the acid group in the short-chainorganic acid is a carboxylic acid, sulfonic acid, phosphonic acid, or asalt thereof.

In addition to the four excipient categories above, high concentrationsolutions of therapeutic or non-therapeutic proteins can be formulatedwith short-chain organic acids, for example, the acid or salt forms ofsorbic acid, valeric acid, propionic acid, caproic acid, and ascorbicacid as excipient compounds. Examples of excipient compounds in thiscategory include potassium sorbate, taurine, calcium propionate,magnesium propionate, and sodium ascorbate.

f. Excipient Compound Category 6: Low Molecular Weight AliphaticPolyacids

High concentration solutions of therapeutic or non-therapeutic PEGylatedproteins can be formulated with certain excipient compounds that enablelower solution viscosity, where such excipient compounds are lowmolecular weight aliphatic polyacids. As used herein, the term “lowmolecular weight aliphatic polyacids” refers to organic aliphaticpolyacids having a molecular weight <about 1500, and having at least twoacidic groups, where an acidic group is understood to be aproton-donating moiety. Non-limiting examples of acidic groups includecarboxylate, phosphonate, phosphate, sulfonate, sulfate, nitrate, andnitrite groups. Acidic groups on the low molecular weight aliphaticpolyacid can be in the anionic salt form such as carboxylate,phosphonate, phosphate, sulfonate, sulfate, nitrate, and nitrite; theircounterions can be sodium, potassium, lithium, and ammonium. Specificexamples of low molecular weight aliphatic polyacids useful forinteracting with PEGylated proteins as described herein include maleicacid, tartaric acid, glutaric acid, malonic acid, citric acid,ethylenediaminetetraacetic acid (EDTA), aspartic acid, glutamic acid,alendronic acid, etidronic acid and salts thereof. Further examples oflow molecular weight aliphatic polyacids in their anionic salt forminclude phosphate (PO₄ ³⁻), hydrogen phosphate (HPO₄ ³⁻), dihydrogenphosphate (H₂PO₄ ⁻), sulfate (SO₄ ²⁻), bisulfate (HSO₄ ⁻), pyrophosphate(P₂O₇ ⁴⁻), carbonate (CO₃ ²), and bicarbonate (HCO₃ ⁻). The counterionfor the anionic salts can be Na, Li, K, or ammonium ion. Theseexcipients can also be used in combination with excipients. As usedherein, the low molecular weight aliphatic polyacid can also be an alphahydroxy acid, where there is a hydroxyl group adjacent to a first acidicgroup, for example glycolic acid, lactic acid, and gluconic acid andsalts thereof. In embodiments, the low molecular weight aliphaticpolyacid is an oligomeric form that bears more than two acidic groups,for example polyacrylic acid, polyphosphates, polypeptides and saltsthereof. In some embodiments, the low molecular weight aliphaticpolyacid excipient is present in the composition in a concentration ofabout 50 mg/ml or less.

g. Excipient Compound Category 7: Diones and Sulfones

An effective viscosity-reducing excipient can be a molecule containing asulfone, sulfonamide, or dione functional group that is soluble in purewater to at least 1 g/L at 298K and having a net neutral charge at pH 7.Preferably, the molecule has a molecular weight of less than 1000 g/moland more preferably less than 500 g/mol. The diones and sulfoneseffective in reducing viscosity have multiple double bonds, are watersoluble, have no net charge at pH 7, and are not strong hydrogen bondingdonors. Not to be bound by theory, the double bond character can allowfor weak pi-stacking interactions with protein. In embodiments, at highprotein concentrations and in proteins that only develop high viscosityat high concentration, charged excipients are not effective becauseelectrostatic interaction is a longer range interaction. Solvatedprotein surfaces are predominantly hydrophilic, making them watersoluble. The hydrophobic regions of proteins are generally shieldedwithin the 3-dimensional structure, but the structure is constantlyevolving, unfolding, and re-folding (sometimes called “breathing”) andthe hydrophobic regions of adjacent proteins can come into contact witheach other, leading to aggregation by hydrophobic interactions. Thepi-stacking feature of dione and sulfone excipients can mask hydrophobicpatches that may be exposed during such “breathing.” Another otherimportant role of the excipient can be to disrupt hydrophobicinteractions and hydrogen bonding between proteins in close proximity,which will effectively reduce solution viscosity. Dione and sulfonecompounds that fit this description include dimethylsulfone, ethylmethyl sulfone, ethyl methyl sulfonyl acetate, ethyl isopropyl sulfone,bis(methylsulfonyl)methane, methane sulfonamide, methionine sulfone,1,2-cyclopentanedione, 1,3-cyclopentanedione, 1,4-cyclopentanedione, andbutane-2,3-dione.

5. Protein/Excipient Solutions: Properties and Processes

In certain embodiments, solutions of therapeutic or non-therapeuticproteins are formulated with the above-identified excipient compounds,such as hindered amines, aromatics, functionalized amino acids,oligopeptides, short-chain organic acids, low molecular weight aliphaticpolyacids, and diones and sulfones, to result in improvedprotein-protein interaction characteristics as measured by the proteindiffusion interaction parameter, kD, or the second virial coefficient,B22. As used herein, an “improvement” in protein-protein interactioncharacteristics achieved by formulations using the above-identifiedexcipient compounds means a decrease in protein-protein interactions.These measurements of kD and B22 can be made using standard techniquesin the industry, and can be an indicator of improved solution propertiesor stability of the protein in solution. For example, a highly negativekD value can indicate that the protein has a strong attractiveinteraction and this can lead to aggregation, instability, and rheologyproblems. When formulated in the presence of certain of the aboveidentified excipient compounds, the same protein can have a lessnegative kD value, or a kD value near or above zero.

In embodiments, certain of the above-described excipient compounds, suchas hindered amines, aromatics, functionalized amino acids,oligopeptides, short-chain organic acids, low molecular weight aliphaticpolyacids, and/or diones and sulfones are used to improve aprotein-related process, such as the manufacture, processing, sterilefilling, purification, and analysis of protein-containing solutions,using processing methods such as filtration, syringing, transferring,pumping, mixing, heating or cooling by heat transfer, gas transfer,centrifugation, chromatography, membrane separation, centrifugalconcentration, tangential flow filtration, radial flow filtration, axialflow filtration, lyophilization, and gel electrophoresis. Theseprocesses and processing methods can have improved efficiency due to thelower viscosity, improved solubility, or improved stability of theproteins in the solution during manufacture, processing, purification,and analysis steps. Additionally, equipment-related processes such asthe cleanup, sterilization, and maintenance of protein processingequipment can be facilitated by the use of the above-identifiedexcipients due to decreased fouling, decreased denaturing, lowerviscosity, and improved solubility of the protein.

High concentration solutions of therapeutic proteins formulated with theabove described excipient compounds can be administered to patientsusing pre-filled syringes.

EXAMPLES

Materials:

-   -   Bovine gamma globulin (BGG), >99% purity, Sigma Aldrich    -   Histidine, Sigma Aldrich    -   Other materials described in the examples below were from Sigma        Aldrich unless otherwise specified.

Example 1: Preparation of Formulations Containing Excipient Compoundsand Test Protein

Formulations were prepared using an excipient compound and a testprotein, where the test protein was intended to simulate either atherapeutic protein that would be used in a therapeutic formulation, ora non-therapeutic protein that would be used in a non-therapeuticformulation. Such formulations were prepared in 50 mM histidinehydrochloride with different excipient compounds for viscositymeasurement in the following way. Histidine hydrochloride was firstprepared by dissolving 1.94 g histidine (Sigma-Aldrich, St. Louis, MO)in distilled water and adjusting the pH to about 6.0 with 1 Mhydrochloric acid (Sigma-Aldrich, St. Louis, MO) and then diluting to afinal volume of 250 mL with distilled water in a volumetric flask.Excipient compounds were then dissolved in 50 mM histidine HCl. Lists ofexcipients are provided below in Examples 4, 5, 6, and 7. In some casesexcipient compounds were adjusted to pH 6 prior to dissolving in 50 mMhistidine HCl. In this case the excipient compounds were first dissolvedin deionized water at about 5 wt % and the pH was adjusted to about 6.0with either hydrochloric acid or sodium hydroxide. The prepared saltsolution was then placed in a convection laboratory oven at about 150degrees Fahrenheit (about 65 degrees C.) to evaporate the water andisolate the solid excipient. Once excipient solutions in 50 mM histidineHCl had been prepared, the test protein (bovine gamma globulin (“BGG”)(Sigma-Aldrich, St. Louis, MO)) was dissolved at a ratio of about 0.336g BGG per 1 mL excipient solution. This resulted in a final proteinconcentration of about 280 mg/mL. Solutions of BGG in 50 mM histidineHCl with excipient were formulated in 20 mL vials and allowed to shakeat 100 rpm on an orbital shaker table overnight. The solutions were thentransferred to 2 mL microcentrifuge tubes and centrifuged for tenminutes at 2300 rpm in an IEC MicroMax microcentrifuge to removeentrained air prior to viscosity measurement.

Example 2: Viscosity Measurement

Viscosity measurements of formulations prepared as described in Example1 were made with a DV-IIT LV cone and plate viscometer (BrookfieldEngineering, Middleboro, MA). The viscometer was equipped with a CP-40cone and was operated at 3 rpm and 25 degrees C. The formulation wasloaded into the viscometer at a volume of 0.5 mL and allowed to incubateat the given shear rate and temperature for 3 minutes, followed by ameasurement collection period of twenty seconds. This was then followedby 2 additional steps consisting of 1 minute of shear incubation andsubsequent twenty-second measurement collection period. The three datapoints collected were then averaged and recorded as the viscosity forthe sample.

Example 3: Protein Concentration Measurement

The concentration of the protein in the experimental solutions wasdetermined by measuring the absorbance of the protein solution at awavelength of 280 nm in a UV/VIS Spectrometer (Perkin Elmer Lambda 35).First the instrument was calibrated to zero absorbance with a 50 mMhistidine buffer at pH 6. Next the protein solutions were diluted by afactor of 300 with the same histidine buffer and the absorbance at 280nm recorded. The final concentration of the protein in the solution wascalculated by using the extinction coefficient value of 1.264mL/(mg×cm).

Example 4: Formulations with Hindered Amine Excipient Compounds

Formulations containing 280 mg/mL BGG were prepared as described inExample 1, with some samples containing added excipient compounds. Inthese tests, the hydrochloride salts of dimethylcyclohexylamine (DMCHA),dicyclohexylmethylamine (DCHMA), dimethylaminopropylamine (DMAPA),triethanolamine (TEA), dimethylethanolamine (DMEA), and niacinamide weretested as examples of the hindered amine excipient compounds. Also ahydroxybenzoic acid salt of DMCHA and a taurine-dicyandiamide adductwere tested as examples of the hindered amine excipient compounds. Theviscosity of each protein solution was measured as described in Example2, and the results are presented in Table 1 below, showing the benefitof the added excipient compounds in reducing viscosity.

TABLE 1 Excipient Vis- Vis- Test Concentration cosity cosity NumberExcipient Added (mg/mL) (cP) Reduction 4.1 None 0 79  0% 4.2 DMCHA-HCl28 50 37% 4.3 DMCHA-HCl 41 43 46% 4.4 DMCHA-HCl 50 45 43% 4.5 DMCHA-HCl82 36 54% 4.6 DMCHA-HCl 123 35 56% 4.7 DMCHA-HCl 164 40 49% 4.8DMAPA-HCl 87 57 28% 4.9 DMAPA-HCl 40 54 32% 4.10 DCHMA-HCl 29 51 35%4.11 DCHMA-HCl 50 51 35% 4.14 TEA-HCl 97 51 35% 4.15 TEA-HCl 38 57 28%4.16 DMEA-HCl 51 51 35% 4.17 DMEA-HCl 98 47 41% 4.20DMCHA-hydroxybenzoate 67 46 42% 4.21 DMCHA-hydroxybenzoate 92 42 47%4.22 Product of Example 8 26 58 27% 4.23 Product of Example 8 58 50 37%4.24 Product of Example 8 76 49 38% 4.25 Product of Example 8 103 46 42%4.26 Product of Example 8 129 47 41% 4.27 Product of Example 8 159 4247% 4.28 Product of Example 8 163 42 47% 4.29 Niacinamide 48 39 51% 4.30N-Methyl-2-pyrrolidone 30 45 43% 4.31 N-Methyl-2-pyrrolidone 52 52 34%

Example 5: Formulations with Anionic Aromatic Excipient Compounds

Formulations of 280 mg/mL BGG were prepared as described in Example 1,with some samples containing added excipient compounds. The viscosity ofeach solution was measured as described in Example 2, and the resultsare presented in Table 2 below, showing the benefit of the addedexcipient compounds in reducing viscosity.

TABLE 2 Excipient Test Concentration Viscosity Viscosity NumberExcipient Added (mg/mL) (cP) Reduction 5.1 None  0 79  0% 5.2 Sodium 4348 39% aminobenzoate 5.3 Sodium 26 50 37% hydroxybenzoate 5.4 Sodiumsulfanilate 44 49 38% 5.5 Sodium sulfanilate 96 42 47% 5.6 Sodium indole52 58 27% acetate 5.7 Sodium indole 27 78  1% acetate 5.8 Vanillic acid,25 56 29% sodium salt 5.9 Vanillic acid, 50 50 37% sodium salt 5.10Sodium salicylate 25 57 28% 5.11 Sodium salicylate 50 52 34% 5.12Adenosine 26 47 41% monophosphate 5.13 Adenosine 50 66 16% monophosphate5.14 Sodium benzoate 31 61 23% 5.15 Sodium benzoate 56 62 22%

Example 6: Formulations with Oligopeptide Excipient Compounds

Oligopeptides (n=5) were synthesized by NeoBioLab Inc. (Woburn, MA)in >9500 purity with the N terminus as a free amine and the C terminusas a free acid. Dipeptides (n=2) were synthesized by LifeTein LLC in 95%purity. Formulations of 280 mg/mL BGG were prepared as described inExample 1, with some samples containing the synthetic oligopeptides asadded excipient compounds. The viscosity of each solution was measuredas described in Example 2, and the results are presented in Table 3below, showing the benefit of the added excipient compounds in reducingviscosity.

TABLE 3 Excipient Concen- Test tration Viscosity Viscosity NumberExcipient Added (mg/mL) (cP) Reduction 6.1 None 0 79  0% 6.2 ArgX5 10055 30% 6.3 ArgX5 50 54 32% 6.4 HisX5 100 62 22% 6.5 HisX5 50 51 35% 6.6HisX5 25 60 24% 6.7 Trp2Lys3 100 59 25% 6.8 Trp2Lys3 50 60 24% 6.9 AspX5100 102 −29%   6.10 AspX5 50 82 −4% 6.11 Dipeptide LE (Leu-Glu) 50 72 9% 6.12 Dipeptide YE (Tyr-Glu) 50 55 30% 6.13 Dipeptide RP (Arg-Pro) 5051 35% 6.14 Dipeptide RK (Arg-Lys) 50 53 33% 6.15 Dipeptide RH (Arg-His)50 52 34% 6.16 Dipeptide RR (Arg-Arg) 50 57 28% 6.17 Dipeptide RE(Arg-Glu) 50 50 37% 6.18 Dipeptide LE (Leu-Glu) 100 87 −10%   6.19Dipeptide YE (Tyr-Glu) 100 68 14% 6.20 Dipeptide RP (Arg-Pro) 100 53 33%6.21 Dipeptide RK (Arg-Lys) 100 64 19% 6.22 Dipeptide RH (Arg-His) 10072  9% 6.23 Dipeptide RR (Arg-Arg) 100 62 22% 6.24 Dipeptide RE(Arg-Glu) 100 66 16%

Example 8: Synthesis of Guanyl Taurine Excipient

Guanyl taurine was prepared following method described in U.S. Pat. No.2,230,965. Taurine (Sigma-Aldrich, St. Louis, MO) 3.53 parts were mixedwith 1.42 parts of dicyandiamide (Sigma-Aldrich, St. Louis, MO) andgrinded in a mortar and pestle until a homogeneous mixture was obtained.Next the mixture was placed in a flask and heated at 200° C. for 4hours. The product was used without further purification.

Example 9: Protein Formulations Containing Excipient Compounds

Formulations were prepared using an excipient compound and a testprotein, where the test protein was intended to simulate either atherapeutic protein that would be used in a therapeutic formulation, ora non-therapeutic protein that would be used in a non-therapeuticformulation. Such formulations were prepared in 50 mM aqueous histidinehydrochloride buffer solution with different excipient compounds forviscosity measurement in the following way. Histidine hydrochloridebuffer solution was first prepared by dissolving 1.94 g histidine(Sigma-Aldrich, St. Louis, MO) in distilled water and adjusting the pHto about 6.0 with 1 M hydrochloric acid (Sigma-Aldrich, St. Louis, MO)and then diluting to a final volume of 250 mL with distilled water in avolumetric flask. Excipient compounds were then dissolved in the 50 mMhistidine HCl buffer solution. A list of the excipient compounds isprovided in Table 4. In some cases, excipient compounds were dissolvedin 50 mM histidine HCl and the resulting solution pH was adjusted withsmall amounts of concentrated sodium hydroxide or hydrochloric acid toachieve pH 6 prior to dissolution of the model protein. In some cases,excipient compounds were adjusted to pH 6 prior to dissolving in 50 mMhistidine HCl. In this case the excipient compounds were first dissolvedin deionized water at about 5 wt % and the pH was adjusted to about 6.0with either hydrochloric acid or sodium hydroxide. The prepared saltsolution was then placed in a convection laboratory oven at about 150degrees Fahrenheit (65 degrees C.) to evaporate the water and isolatethe solid excipient. Once excipient solutions in 50 mM histidine HCl hadbeen prepared, the test protein, bovine gamma globulin (Sigma-Aldrich,St. Louis, MO) was dissolved at a ratio to achieve a final proteinconcentration of about 280 mg/mL. Solutions of BGG in 50 mM histidineHCl with excipient were formulated in 20 mL vials and allowed to shakeat 100 rpm on an orbital shaker table overnight. The solutions were thentransferred to 2 mL microcentrifuge tubes and centrifuged for tenminutes at 2300 rpm in an IEC MicroMax microcentrifuge to removeentrained air prior to viscosity measurement.

Viscosity measurements of formulations prepared as described above weremade with a DV-IIT LV cone and plate viscometer (Brookfield Engineering,Middleboro, MA). The viscometer was equipped with a CP-40 cone and wasoperated at 3 rpm and 25 degrees C. The formulation was loaded into theviscometer at a volume of 0.5 mL and allowed to incubate at the givenshear rate and temperature for 3 minutes, followed by a measurementcollection period of twenty seconds. This was then followed by 2additional steps consisting of 1 minute of shear incubation andsubsequent twenty-second measurement collection period. The three datapoints collected were then averaged and recorded as the viscosity forthe sample. Viscosities of solutions with excipient were normalized tothe viscosity of the model protein solution without excipient. Thenormalized viscosity is the ratio of the viscosity of the model proteinsolution with excipient to the viscosity of the model protein solutionwith no excipient.

TABLE 4 Excipient Concen- Normalized Test tration Viscosity ViscosityNumber Excipient Added (mg/mL) (cP) Reduction 9.1 DMCHA-HCl 120 0.44 56%9.2 Niacinamide 50 0.51 49% 9.3 Isonicotinamide 50 0.48 52% 9.4 TyramineHCl 70 0.41 59% 9.5 Histamine HCl 50 0.41 59% 9.6 Imidazole HCl 100 0.4357% 9.7 2-methyl-2- 60 0.43 57% imidazoline HCl 9.8 1-butyl-3- 100 0.4852% methylimidazolium chloride 9.9 Procaine HCl 50 0.53 47% 9.103-aminopyridine 50 0.51 49% 9.11 2,4,6-trimethylpyridine 50 0.49 51%9.12 3-pyridine methanol 50 0.53 47% 9.13 Nicotinamide adenine 20 0.5644% dinucleotide 9.15 Sodium phenylpyruvate 55 0.57 43% 9.162-Pyrrolidinone 60 0.68 32% 9.17 Morpholine HCl 50 0.60 40% 9.18Agmatine sulfate 55 0.77 23% 9.19 1-butyl-3- 60 0.66 34%methylimidazolium iodide 9.21 L-Anserine nitrate 50 0.79 21% 9.221-hexyl-3- 65 0.89 11% methylimidazolium chloride 9.23 N,N-diethyl 500.67 33% nicotinamide 9.24 Nicotinic acid, 100 0.54 46% sodium salt 9.25Biotin 20 0.69 31%

Example 10: Preparation of Formulations Containing ExcipientCombinations and Test Protein

Formulations were prepared using a primary excipient compound, asecondary excipient compound and a test protein, where the test proteinwas intended to simulate either a therapeutic protein that would be usedin a therapeutic formulation, or anon-therapeutic protein that would beused in a non-therapeutic formulation. The primary excipient compoundswere selected from compounds having both anionic and aromaticfunctionality, as listed below in Table 5. The secondary excipientcompounds were selected from compounds having either nonionic orcationic charge at pH 6 and either imidazoline or benzene rings, aslisted below in Table 5. Formulations of these excipients were preparedin 50 mM histidine hydrochloride buffer solution for viscositymeasurement in the following way. Histidine hydrochloride was firstprepared by dissolving 1.94 g histidine (Sigma-Aldrich, St. Louis, MO)in distilled water and adjusting the pH to about 6.0 with 1 Mhydrochloric acid (Sigma-Aldrich, St. Louis, MO) and then diluting to afinal volume of 250 mL with distilled water in a volumetric flask. Theindividual primary or secondary excipient compounds were then dissolvedin 50 mM histidine HCl. Combinations of primary and secondary excipientswere dissolved in 50 mM histidine HCl and the resulting solution pHadjusted with small amounts of concentrated sodium hydroxide orhydrochloric acid to achieve pH 6 prior to dissolution of the modelprotein. Once excipient solutions had been prepared as described above,the test protein (bovine gamma globulin (BGG) (Sigma-Aldrich, St. Louis,MO)) was dissolved into each test solution at a ratio to achieve a finalprotein concentration of about 280 mg/mL. Solutions of BGG in 50 mMhistidine HCl with excipient were formulated in 20 mL vials and allowedto shake at 100 rpm on an orbital shaker table overnight. The solutionswere then transferred to 2 mL microcentrifuge tubes and centrifuged forten minutes at 2300 rpm in an IEC MicroMax microcentrifuge to removeentrained air prior to viscosity measurement.

Viscosity measurements of formulations prepared as described above weremade with a DV-IIT LV cone and plate viscometer (Brookfield Engineering,Middleboro, MA). The viscometer was equipped with a CP-40 cone and wasoperated at 3 rpm and 25 degrees C. The formulation was loaded into theviscometer at a volume of 0.5 mL and allowed to incubate at the givenshear rate and temperature for 3 minutes, followed by a measurementcollection period of twenty seconds. This was then followed by 2additional steps consisting of 1 minute of shear incubation and asubsequent twenty-second measurement collection period. The three datapoints collected were then averaged and recorded as the viscosity forthe sample. Viscosities of solutions with excipient were normalized tothe viscosity of the model protein solution without excipient, andsummarized in Table 5 below. The normalized viscosity is the ratio ofthe viscosity of the model protein solution with excipient to theviscosity of the model protein solution with no excipient. The exampleshows that a combination of primary and secondary excipients can give abetter result than a single excipient.

TABLE 5 Primary Excipient Secondary Excipient Test ConcentrationConcentration Normalized Number Name (mg/mL) Name (mg/mL) Viscosity 10.1Salicylic Acid 30 None 0 0.79 10.2 Salicylic Acid 25 Imidazole 4 0.5910.3 4-hydroxybenzoic 30 None 0 0.61 acid 10.4 4-hydroxybenzoic 25Imidazole 5 0.57 acid 10.5 4-hydroxybenzene 31 None 0 0.59 sulfonic acid10.6 4-hydroxybenzene 26 Imidazole 5 0.70 sulfonic acid 10.74-hydroxybenzene 25 Caffeine 5 0.69 sulfonic acid 10.8 None 0 Caffeine10 0.73 10.9 None 0 Imidazole 5 0.75

Example 11: Preparation of Formulations Containing ExcipientCombinations and Test Protein

Formulations were prepared using a primary excipient compound, asecondary excipient compound and a test protein, where the test proteinwas intended to simulate a therapeutic protein that would be used in atherapeutic formulation, or anon-therapeutic protein that would be usedin anon-therapeutic formulation. The primary excipient compounds wereselected from compounds having both anionic and aromatic functionality,as listed below in Table 6. The secondary excipient compounds wereselected from compounds having either nonionic or cationic charge at pH6 and either imidazoline or benzene rings, as listed below in Table 6.Formulations of these excipients were prepared in distilled water forviscosity measurement in the following way. Combinations of primary andsecondary excipients were dissolved in distilled water and the resultingsolution pH adjusted with small amounts of concentrated sodium hydroxideor hydrochloric acid to achieve pH 6 prior to dissolution of the modelprotein. Once excipient solutions in distilled water had been prepared,the test protein (bovine gamma globulin (BGG) (Sigma-Aldrich, St. Louis,MO)) was dissolved at a ratio to achieve a final protein concentrationof about 280 mg/mL. Solutions of BGG in distilled water with excipientwere formulated in 20 mL vials and allowed to shake at 100 rpm on anorbital shaker table overnight. The solutions were then transferred to 2mL microcentrifuge tubes and centrifuged for ten minutes at 2300 rpm inan IEC MicroMax microcentrifuge to remove entrained air prior toviscosity measurement.

Viscosity measurements of formulations prepared as described above weremade with a DV-IIT LV cone and plate viscometer (Brookfield Engineering,Middleboro, MA). The viscometer was equipped with a CP-40 cone and wasoperated at 3 rpm and 25 degrees C. The formulation was loaded into theviscometer at a volume of 0.5 mL and allowed to incubate at the givenshear rate and temperature for 3 minutes, followed by a measurementcollection period of twenty seconds. This was then followed by 2additional steps consisting of 1 minute of shear incubation and asubsequent twenty-second measurement collection period. The three datapoints collected were then averaged and recorded as the viscosity forthe sample. Viscosities of solutions with excipient were normalized tothe viscosity of the model protein solution without excipient, andsummarized in Table 6 below. The normalized viscosity is the ratio ofthe viscosity of the model protein solution with excipient to theviscosity of the model protein solution with no excipient. The exampleshows that a combination of primary and secondary excipients can give abetter result than a single excipient.

TABLE 6 Primary Excipient Secondary Excipient Test ConcentrationConcentration Normalized Number Name (mg/mL) Name (mg/mL) Viscosity 11.1Salicylic Acid 20 None 0 0.96 11.2 Salicylic Acid 20 Caffeine 5 0.7111.3 Salicylic Acid 20 Niacinamide 5 0.76 11.4 Salicylic Acid 20Imidazole 5 0.73

Example 12: Preparation of Formulations Containing Excipient Compoundsand PEG

Materials: All materials were purchased from Sigma-Aldrich, St. Louis,MO Formulations were prepared using an excipient compound and PEG, wherethe PEG was intended to simulate a therapeutic PEGylated protein thatwould be used in a therapeutic formulation. Such formulations wereprepared by mixing equal volumes of a solution of PEG with a solution ofthe excipient. Both solutions were prepared in a Tris buffer consistingof 10 mM Tris, 135 mM NaCl, and 1 mM trans-cinnamic acid at pH of 7.3.

The PEG solution was prepared by mixing 3 g of Poly(ethylene oxide)average Mw˜1,000,000 (Aldrich Catalog #372781) with 97 g of the Trisbuffer solution. The mixture was stirred overnight for completedissolution.

An example of the excipient solution preparation is as follows: Anapproximately 80 mg/mL solution of citric acid in the Tris buffer wasprepared by dissolving 0.4 g of citric acid (Aldrich cat. #251275) in 5mL of the Tris buffer solution and adjusted the pH to 7.3 with minimumamount of 10 M NaOH solution.

The PEG excipient solution was prepared by mixing 0.5 mL of the PEGsolution with 0.5 mL of the excipient solution and mixed by using avortex for a few seconds. A control sample was prepared by mixing 0.5 mLof the PEG solution with 0.5 mL of the Tris buffer solution.

Example 13: Viscosity Measurements of Formulations Containing ExcipientCompounds and PEG

Viscosity measurements of the formulations prepared were made with aDV-IIT LV cone and plate viscometer (Brookfield Engineering, Middleboro,MA). The viscometer was equipped with a CP-40 cone and was operated at 3rpm and 25 degrees C. The formulation was loaded into the viscometer ata volume of 0.5 mL and allowed to incubate at the given shear rate andtemperature for 3 minutes, followed by a measurement collection periodof twenty seconds. This was then followed by 2 additional stepsconsisting of 1 minute of shear incubation and subsequent twenty secondmeasurement collection period. The three data points collected were thenaveraged and recorded as the viscosity for the sample.

The results presented in Table 7 show the effect of the added excipientcompounds in reducing viscosity.

TABLE 7 Excipient Test Concentration Viscosity Viscosity NumberExcipient (mg/mL) (cP) Reduction 13.1 None 0 104.8  0% 13.2 Citric acidNa salt 40 56.8 44% 13.3 Citric acid Na salt 20 73.3 28% 13.4 glycerolphosphate 40 71.7 30% 13.5 glycerol phosphate 20 83.9 18% 13.6 Ethylenediamine 40 84.7 17% 13.7 Ethylene diamine 20 83.9 15% 13.8 EDTA/K salt40 67.1 36% 13.9 EDTA/K salt 20 76.9 27% 13.10 EDTA/Na salt 40 68.1 35%13.11 EDTA/Na salt 20 77.4 26% 13.12 D-Gluconic acid/K salt 40 80.32 23%13.13 D-Gluconic acid/K salt 20 88.4 16% 13.14 D-Gluconic acid/Na salt40 81.24 23% 13.15 D-Gluconic acid/Na salt 20 86.6 17% 13.16 lacticacid/K salt 40 80.42 23% 13.17 lactic acid/K salt 85.1 19% 13.18 lacticacid/Na salt 40 86.55 17% 13.19 lactic acid/Na salt 20 87.2 17% 13.20etidronic acid/K salt 24 71.91 31% 13.21 etidronic acid/K salt 12 80.523% 13.22 etidronic acid/Na salt 24 71.6 32% 13.23 etidronic acid/Nasalt 12 79.4 24%

Example 14: Preparation of PEGylated BSA with 1 PEG Chain Per BSAMolecule

To a beaker was added 200 mL of a phosphate buffered saline (AldrichCat. #P4417) and 4 g of BSA (Aldrich Cat. #A7906) and mixed with amagnetic bar. Next 400 mg of methoxy polyethylene glycol maleimide,MW=5,000, (Aldrich Cat. #63187) was added. The reaction mixture wasallowed to react overnight at room temperature. The following day, 20drops of HCl 0.1 M were added to stop the reaction. The reaction productwas characterized by SDS-Page and SEC which clearly showed the PEGylatedBSA. The reaction mixture was placed in an Amicon centrifuge tube with amolecular weight cutoff (MWCO) of 30,000 and concentrated to a fewmilliliters. Next the sample was diluted 20 times with a histidinebuffer, 50 mM at a pH of approximately 6, followed by concentratinguntil a high viscosity fluid was obtained. The final concentration ofthe protein solution was obtained by measuring the absorbance at 280 nmand using a coefficient of extinction for the BSA of 0.6678. The resultsindicated that the final concentration of BSA in the solution was 342mg/mL.

Example 15: Preparation of PEGylated BSA with Multiple PEG Chains PerBSA Molecule

A 5 mg/mL solution of BSA (Aldrich A7906) in phosphate buffer, 25 mM atpH of 7.2, was prepared by mixing 0.5 g of the BSA with 100 mL of thebuffer. Next 1 g of a methoxy PEG propionaldehyde Mw=20,000 (JenKemTechnology, Plano, TX 75024) was added followed by 0.12 g of sodiumcyanoborohydride (Aldrich 156159). The reaction was allowed to proceedovernight at room temperature. The following day the reaction mixturewas diluted 13 times with a Tris buffer (10 mM Tris, 135 mM NaCl atpH=7.3) and concentrated using Amicon centrifuge tubes MWCO of 30,000until a concentration of approximately 150 mg/mL was reached.

Example 16: Preparation of PEGylated Lysozyme with Multiple PEG ChainsPer Lysozyme Molecule

A 5 mg/mL solution of lysozyme (Aldrich L6876) in phosphate buffer, 25mM at pH of 7.2, was prepared by mixing 0.5 g of the lysozyme with 100mL of the buffer. Next 1 g of a methoxy PEG propionaldehyde Mw=5,000(JenKem Technology, Plano, TX 75024) was added followed by 0.12 g ofSodium cyanoborohydride (Aldrich 156159). The reaction was allowed toproceed overnight at room temperature. The following day the reactionmixture was diluted 49 times with the phosphate buffer, 25 mM at pH of7.2, and concentrated using Amicon centrifuge tubes MWCO of 30,000. Thefinal concentration of the protein solution was obtained by measuringthe absorbance at 280 nm and using a coefficient of extinction for thelysozyme of 2.63. The final concentration of lysozyme in the solutionwas 140 mg/mL.

Example 17: Effect of Excipients on Viscosity of PEGylated BSA with 1PEG Chain Per BSA Molecule

Formulations of PEGylated BSA (from Example 14 above) with excipientswere prepared by adding 6 or 12 milligrams of the excipient salt to 0.3mL of the PEGylated BSA solution. The solution was mixed by gentlyshaking and the viscosity was measured by a RheoSense microVisc equippedwith an A10 channel (100 micron depth) at a shear rate of 500 sec⁻¹. Theviscometer measurements were completed at ambient temperature.

The results presented in Table 8 shows the effect of the added excipientcompounds in reducing viscosity.

TABLE 8 Excipient Test Concentration Viscosity Viscosity NumberExcipient (mg/mL) (cP) Reduction 17.1 None 0 228.6  0% 17.2Alpha-Cyclodextrin 20 151.5 34% sulfated Na salt 17.3 K acetate 40 89.560%

Example 18: Effect of Excipients on Viscosity of PEGylated BSA withMultiple PEG Chains Per BSA Molecule

A formulations of PEGylated BSA (from Example 15 above) with citric acidNa salt as excipient was prepared by adding 8 milligrams of theexcipient salt to 0.2 mL of the PEGylated BSA solution. The solution wasmixed by gently shaking and the viscosity was measured by a RheoSensemicroVisc equipped with an A10 channel (100 micron depth) at a shearrate of 500 sec⁻¹. The viscometer measurements were completed at ambienttemperature. The results presented in Table 9 shows the effect of theadded excipient compounds in reducing viscosity.

TABLE 9 Excipient Test Concentration Viscosity Viscosity NumberExcipient Added (mg/mL) (cP) Reduction 18.1 None 0 56.8  0% 18.2 Citricacid Na salt 40 43.5 23%

Example 19: Effect of Excipients on Viscosity of PEGylated Lysozyme withMultiple PEG Chains Per Lysozyme Molecule

A formulation of PEGylated lysozyme (from Example 16 above) withpotassium acetate as excipient was prepared by adding 6 milligrams ofthe excipient salt to 0.3 mL of the PEGylated lysozyme solution. Thesolution was mixed by gently shaking and the viscosity was measured by aRheoSense microVisc equipped with an A10 channel (100 micron depth) at ashear rate of 500 sec⁻¹. The viscometer measurements were completed atambient temperature. The results presented in the next table shows thebenefit of the added excipient compounds in reducing viscosity.

TABLE 10 Excipient Test Concentration Viscosity Viscosity NumberExcipient (mg/mL) (cP) Reduction 19.1 None  0 24.6 0% 19.2 K acetate 2022.6 8%

Example 20: Protein Formulations Containing Excipient Combinations

Formulations were prepared using an excipient compound or a combinationof two excipient compounds and a test protein, where the test proteinwas intended to simulate a therapeutic protein that would be used in atherapeutic formulation. These formulations were prepared in 20 mMhistidine buffer with different excipient compounds for viscositymeasurement in the following way. Excipient combinations were dissolvedin 20 mM histidine (Sigma-Aldrich, St. Louis, MO) and the resultingsolution pH adjusted with small amounts of concentrated sodium hydroxideor hydrochloric acid to achieve pH 6 prior to dissolution of the modelprotein. Excipient compounds for this Example are listed below in Table11. Once excipient solutions had been prepared, the test protein (bovinegamma globulin (BGG) (Sigma-Aldrich, St. Louis, MO)) was dissolved at aratio to achieve a final protein concentration of about 280 mg/mL.Solutions of BGG in the excipient solutions were formulated in 5 mLsterile polypropylene tubes and allowed to shake at 80-100 rpm on anorbital shaker table overnight. The solutions were then transferred to 2mL microcentrifuge tubes and centrifuged for about ten minutes at 2300rpm in an IEC MicroMax microcentrifuge to remove entrained air prior toviscosity measurement.

Viscosity measurements of formulations prepared as described above weremade with a DV-IIT LV cone and plate viscometer (Brookfield Engineering,Middleboro, MA). The viscometer was equipped with a CP-40 cone and wasoperated at 3 rpm and 25 degrees Centigrade. The formulation was loadedinto the viscometer at a volume of 0.5 mL and allowed to incubate at thegiven shear rate and temperature for 3 minutes, followed by ameasurement collection period of twenty seconds. This was then followedby 2 additional steps consisting of 1 minute of shear incubation andsubsequent twenty second measurement collection period. The three datapoints collected were then averaged and recorded as the viscosity forthe sample. Viscosities of solutions with excipient were normalized tothe viscosity of the model protein solution without excipient, and theresults are shown in Table 11 below. The normalized viscosity is theratio of the viscosity of the model protein solution with excipient tothe viscosity of the model protein solution with no excipient.

TABLE 11 Excipient A Excipient B Test Conc. Conc. Normalized # Name(mg/mL) Name (mg/mL) Viscosity 20.1 None  0 None 0 1.00 20.2 Aspartame10 None 0 0.83 20.3 Saccharin 60 None 0 0.51 20.4 Acesulfame K 80 None 00.44 20.5 Theophylline 10 None 0 0.84 20.6 Saccharin 30 None 0 0.58 20.7Acesulfame K 40 None 0 0.61 20.8 Caffeine 15 Taurine 15 0.82 20.9Caffeine 15 Tyramine 15 0.67

Example 21: Protein Formulations Containing Excipients to ReduceViscosity and Injection Pain

Formulations were prepared using an excipient compound, a secondexcipient compound, and a test protein, where the test protein wasintended to simulate a therapeutic protein that would be used in atherapeutic formulation. The first excipient compound, Excipient A, wasselected from a group of compounds having local anesthetic properties.The first excipient, Excipient A and the second excipient, Excipient Bare listed in Table 12. These formulations were prepared in 20 mMhistidine buffer using Excipient A and Excipient B in the following way,so that their viscosities could be measured. Excipients in the amountsdisclosed in Table 12 were dissolved in 20 mM histidine (Sigma-Aldrich,St Louis, MO) and the resulting solutions were pH adjusted with smallamounts of concentrated sodium hydroxide or hydrochloric acid to achievepH 6 prior to dissolution of the model protein. Once excipient solutionshad been prepared, the test protein (bovine gamma globulin (BGG)(Sigma-Aldrich, St. Louis, MO)) was dissolved in the excipient solutionat a ratio to achieve a final protein concentration of about 280 mg/mL.Solutions of BGG in the excipient solutions were formulated in 5 mLsterile polypropylene tubes and allowed to shake at 80-100 rpm on anorbital shaker table overnight. BGG-excipient solutions were thentransferred to 2 mL microcentrifuge tubes and centrifuged for about tenminutes at 2300 rpm in an IEC MicroMax microcentrifuge to removeentrained air prior to viscosity measurement.

Viscosity measurements of the formulations prepared as described abovewere made with a DV-IIT LV cone and plate viscometer (BrookfieldEngineering, Middleboro, MA). The viscometer was equipped with a CP-40cone and was operated at 3 rpm and 25 degrees Centigrade. Theformulation was loaded into the viscometer at a volume of 0.5 mL andallowed to incubate at the given shear rate and temperature for 3minutes, followed by a measurement collection period of twenty seconds.This was then followed by 2 additional steps consisting of 1 minute ofshear incubation and subsequent twenty second measurement collectionperiod. The three data points collected were then averaged and recordedas the viscosity for the sample. Viscosities of solutions with excipientwere normalized to the viscosity of the model protein solution withoutexcipient, and the results are shown in Table 12 below. The normalizedviscosity is the ratio of the viscosity of the model protein solutionwith excipient to the viscosity of the model protein solution with noexcipient.

TABLE 12 Excipient A Excipient B Test Conc. Conc. Normalized # Name(mg/mL) Name (mg/mL) Viscosity 21.1 None  0 None 0 1.00 21.2 Lidocaine45 None 0 0.73 21.3 Lidocaine 23 None 0 0.74 21.4 Lidocaine 10 Caffeine15 0.71 21.5 Procaine HCl 40 None 0 0.64 21.6 Procaine HCl 20 Caffeine15 0.69

Example 22: Formulations Containing Excipient Compounds and PEG

Formulations were prepared using an excipient compound and PEG, wherethe PEG was intended to simulate a therapeutic PEGylated protein thatwould be used in a therapeutic formulation, and where the excipientcompounds were provided in the amounts as listed in Table 13. Theseformulations were prepared by mixing equal volumes of a solution of PEGwith a solution of the excipient. Both solutions were prepared inDI-Water.

The PEG solution was prepared by mixing 16.5 g of poly(ethylene oxide)average Mw˜100,000 (Aldrich Catalog #181986) with 83.5 g of DI water.The mixture was stirred overnight for complete dissolution.

The excipient solutions were prepared by this general method and asdetailed in Table 13 below: An approximately 20 mg/mL solution ofpotassium phosphate tribasic (Aldrich Catalog #P5629) in DI-water wasprepared by dissolving 0.05 g of potassium phosphate in 5 mL ofDI-water. The PEG excipient solution was prepared by mixing 0.5 mL ofthe PEG solution with 0.5 mL of the excipient solution and mixed byusing a vortex for a few seconds. A control sample was prepared bymixing 0.5 mL of the PEG solution with 0.5 mL of DI-water. Viscosity wasmeasured and results are recorded in Table 13 below.

TABLE 13 Excipient Viscosity Test Concentration Viscosity ReductionNumber Excipient (mg/mL) (cP) (%) 22.1 None  0 79.7 0 22.2 Citric acidNa salt 10 74.9 6.0 22.3 Potassium 10 72.3 9.3 phosphate 22.4 Citricacid Na 10/10 69.1 13.3 salt/Potassium phosphate 22.5 Sodium sulfate 1075.1 5.8 22.6 Citric acid Na 10/10 70.4 11.7 salt/Sodium sulfate

Example 23: Improved Processing of Protein Solutions with Excipients

Two BGG solutions were prepared by mixing 0.25 g of solid BGG (Aldrichcatalogue number G5009) with 4 ml of a buffer solution. For Sample A:Buffer solution was 20 mM histidine buffer (pH=6.0). For sample B:Buffer solution was 20 mM histidine buffer containing 15 mg/ml ofcaffeine (pH=6). The dissolution of the solid BGG was carried out byplacing the samples in an orbital shaker set at 100 rpm. The buffersample containing caffeine excipient was observed to dissolve theprotein faster. For the sample with the caffeine excipient (Sample B)complete dissolution of the BGG was achieved in 15 minutes. For thesample without the caffeine (Sample A) the dissolution needed 35minutes.

Next the samples were placed in 2 separate Amicon Ultra 4 CentrifugalFilter Unit with a 30,000 molecular weight cut off and the samples werecentrifuged at 2,500 rpm at 10 minute intervals. The filtrate volumerecovered after each 10 minute centrifuge run was recorded. The resultsin Table 14 show the faster recovery of the filtrate for Sample B. Inaddition, Sample B kept concentrating with every additional run butSample A reached a maximum concentration point and furthercentrifugation did not result in further sample concentration.

TABLE 14 Centrifuge Sample A filtrate Sample B filtrate time (min)collected (mL) collected (mL) 10 0.28 0.28 20 0.56 0.61 30 0.78 0.88 400.99 1.09 50 1.27 1.42 60 1.51 1.71 70 1.64 1.99 80 1.79 2.29 90 1.792.39 100 1.79 2.49

Example 24: Protein Formulations Containing Multiple Excipients

This example shows how the combination of caffeine and arginine asexcipients has a beneficial effect on decreasing viscosity of a BGGsolution. Four BGG solutions were prepared by mixing 0.18 g of solid BGG(Aldrich catalogue number G5009) with 0.5 mL of a 20 mM Histidine bufferat pH 6. Each buffer solution contained different excipient orcombination of excipients as described in the table below. The viscosityof the solutions was measured as described in previous examples. Theresults show that the hindered amine excipient, caffeine, can becombined with known excipients such as arginine, and the combination hasbetter viscosity reduction properties than the individual excipients bythemselves.

TABLE 15 Viscosity Viscosity Sample Excipient(s) added (cP) Reduction(%) A None 130.6 0 B Caffeine (10 mg/ml) 87.9 33 C Caffeine (10mg/ml)/Arginine 66.1 49 (25 mg/ml) D Arginine (25 mg/ml) 76.7 41

Arginine was added to 280 mg/mL solutions of BGG in histidine buffer atpH 6. At levels above 50 mg/mL, adding more arginine did not decreaseviscosity further, as shown in Table 16.

TABLE 16 Arginine added Viscosity Viscosity (mg/mL) (cP) reduction (%) 079.0  0% 53 40.9 48% 79 46.1 42% 105 47.8 40% 132 49.0 38% 158 48.0 39%174 50.3 36% 211 51.4 35%

Caffeine was added to 280 mg/mL solutions of BGG in histidine buffer atpH 6. At levels above 10 mg/ml, adding more caffeine did not decreaseviscosity further, as shown in Table 17.

TABLE 17 Caffeine added Viscosity Viscosity reduction (mg/mL) (cP) (%) 079  0% 10 60 31% 15 62 23% 22 50 45%

Example 25: Preparation of Solutions of Co-Solutes in Deionized Water

Compounds used as co-solutes to increase caffeine solubility in waterwere obtained from Sigma-Aldrich (St. Louis, MO) and includedniacinamide, proline, procaine HCl, ascorbic acid, 2,5-dihydroxybenzoicacid, lidocaine, saccharin, acesulfame K, tyramine, and aminobenzoicacid. Solutions of each co-solute were prepared by dissolving dry solidin deionized water and in some cases adjusting the pH to a value betweenpH of about 6 and pH of about 8 with 5 M hydrochloric acid or 5 M sodiumhydroxide as necessary. Solutions were then diluted to a final volume ofeither 25 mL or 50 mL using a Class A volumetric flask and concentrationrecorded based on the mass of compound dissolved and the final volume ofthe solution. Prepared solutions were used either neat or diluted withdeionized water.

Example 26: Caffeine Solubility Testing

The impact of different co-solutes on the solubility of caffeine atambient temperature (about 23° C.) was assessed in the following way.Dry caffeine powder (Sigma-Aldrich, St. Louis, MO) was added to 20 mLglass scintillation vials and the mass of caffeine recorded. 10 mL of aco-solute solution prepared in accordance with Example 25 was added tothe caffeine powder in certain cases (as recorded in Table 18); in othercases (as recorded in Table 18), a blend of a co-solute solution anddeionized water was added to the caffeine powder, maintaining a finaladdition volume of 10 mL. The volume contribution of the dry caffeinepowder was assumed to be negligible in any of these mixtures. A smallmagnetic stir bar was added to the vial, and the solution was allowed tomix vigorously on a stir plate for about 10 minutes. After about 10minutes the vial was observed for dissolution of the dry caffeinepowder, and the results are given in Table 18 below. These observationsindicated that niacinamide, procaine HCl, 2,5-dihydroxybenzoic acidsodium salt, saccharin sodium salt, and tyramine chloride salt allenabled dissolution of caffeine to at least about four times thereported caffeine solubility limit (˜16 mg/mL at room temperatureaccording to Sigma-Aldrich).

TABLE 18 Co-solute Test Conc. Caffeine No. Name (mg/mL) (mg/mL)Observation 26.1 Proline 100 50 DND 26.2 Niacinamide 100 50 CD 26.3Niacinamide 100 60 CD 26.4 Niacinamide 100 75 CD 26.5 Niacinamide 100 85CD 26.6 Niacinamide 100 100 CD 26.7 Niacinamide 80 85 CD 26.8Niacinamide 50 80 CD 26.9 Procaine HCl 100 85 CD 26.10 Procaine HCl 5080 CD 26.11 Niacinamide 30 80 DND 26.12 Procaine HCl 30 80 DND 26.13Niacinamide 40 80 MD 26.14 Procaine HCl 40 80 DND 26.15 Ascorbic acid,Na 50 80 DND 26.16 Ascorbic acid, Na 100 80 DND 26.17 2,5 DHBA, Na 40 80CD 26.18 2,5 DHBA, Na 20 80 MD 26.19 Lidocaine HCl 40 80 DND 26.20Saccharin, Na 90 80 CD 26.21 Acesulfame K 80 80 DND 26.22 Tyramine HCl60 80 CD 26.23 Na Aminobenzoate 46 80 DND 26.24 Saccharin, Na 45 80 DND26.25 Tyramine HCl 30 80 DND CD = completely dissolved; MD = mostlydissolved; DND = did not dissolve

Example 27: Impact of Higher Caffeine Concentrations on ProteinFormulations

Formulations were prepared using a primary excipient compound, asecondary excipient compound and a test protein, where the test proteinwas intended to simulate a therapeutic protein that would be used in atherapeutic formulation. The primary excipient compounds were selectedfrom compounds having both low solubility and demonstrated viscosityreduction. The secondary excipient compounds were selected fromcompounds having higher solubility and either pyridine or benzene rings.Such formulations were prepared in 20 mM histidine buffer with differentexcipient compounds for viscosity measurement in the following way:excipient combinations were dissolved in 20 mM histidine buffer solutionand the resulting solution pH adjusted with small amounts ofconcentrated sodium hydroxide or hydrochloric acid to achieve pH 6 priorto dissolution of the model protein. In certain experiments, the primaryexcipient was added in amounts greatly exceeding its room temperaturesolubility limit as reported in literature. Once the excipient solutionshad been prepared, the test protein (bovine gamma globulin (BGG,Sigma-Aldrich, St. Louis, MO)) was dissolved at a ratio to achieve afinal protein concentration of about 280 mg/mL. Solutions of BGG in theexcipient solutions were formulated in 20 mL vials and allowed to shakeat 100 rpm on an orbital shaker table overnight. The solutions were thentransferred to 2 mL microcentrifuge tubes and centrifuged for tenminutes at 2300 rpm in an IEC MicroMax microcentrifuge to removeentrained air prior to viscosity measurement.

Viscosity measurements of formulations prepared as described above weremade with a DV-IIT LV cone and plate viscometer (Brookfield Engineering,Middleboro, MA). The viscometer was equipped with a CP-40 cone and wasoperated at 3 rpm and 25 degrees Centigrade. The formulation was loadedinto the viscometer at a volume of 0.5 mL and allowed to incubate at thegiven shear rate and temperature for 3 minutes, followed by ameasurement collection period of twenty seconds. This was then followedby 2 additional steps consisting of 1 minute of shear incubation andsubsequent twenty second measurement collection period. The three datapoints collected were then averaged and recorded as the viscosity forthe sample, as shown in Table 19 below. Viscosities of solutions withexcipient were normalized to the viscosity of the model protein solutionwithout excipient. The normalized viscosity is the ratio of theviscosity of the model protein solution with excipient to the viscosityof the model protein solution with no excipient.

TABLE 19 Primary Excipient Test Conc. Secondary Excipient Normalized No.Name (mg/mL) Name (mg/mL) Viscosity 27.1 Caffeine 15 None 0 0.75 27.2Caffeine 15 Saccharin 14 0.62 27.3 Caffeine 15 Procaine HCl 20 0.61 27.4Caffeine 60 Niacinamide 50 0.61 27.5 Caffeine 60 Procaine HCl 50 0.6027.6 Caffeine 60 Saccharin 50 0.66

Example 28: Improved Stability of Adalimumab Solutions with Caffeine asExcipient

The stability of adalimumab solutions with and without caffeineexcipient was evaluated after exposing samples to 2 different stressconditions: agitation and freeze-thaw. The adalimumab drug formulationHumira® was used, having properties described in more detail in Example32. The Humira® sample was concentrated to 200 mg/ml adalimumabconcentration in the original buffer solution as described in Example32; this concentrated sample is designated “Sample 1”. A second samplewas prepared with ˜200 mg/mL of adalimumab and 15 mg/mL of addedcaffeine as described in Example 33; this concentrated sample with addedcaffeine is designated “Sample 2”. Both samples were diluted to a finalconcentration of 1 mg/ml adalimumab with the diluents as follows: Sample1 diluent is the original buffer solution, and Sample 2 diluent is a 20mM histidine, 15 mg/ml caffeine, pH=5. Both Humira® dilutions werefiltered through a 0.22μ syringe filter. For every diluted sample, 3batches of 300 μl each were prepared in a 2 ml Eppendorf tube in alaminar flow hood. The samples were submitted to the following stressconditions: for agitation, samples were placed in an orbital shaker at300 rpm for 91 hours; for freeze-thaw, samples were cycled 7 times from−17 to 30 C for an average of 6 hours per condition. Table 20 describesthe samples prepared.

TABLE 20 Sample # Excipient added Stress condition 1-C  None None 1-A None Agitation 1-FT None Freeze-Thaw 2-C  15 mg/mL caffeine None 2-A  15mg/mL caffeine Agitation 2-FT 15 mg/mL caffeine Freeze-Thaw

Evaluation of Stability by Dynamic Light Scattering (DLS)

A Brookhaven Zeta Plus dynamic light scattering instrument was used tomeasure the hydrodynamic radius of the adalimumab molecules in thesamples and to look for evidence of the formation of aggregatepopulations. Table 21 shows the DLS results for the 6 samples describedin Table 20; some of them (1-A, 1-FT, 2-A, and 2-FT) had been exposed tostress conditions (stressed Samples), and others (1-C and 2-C) had notbeen stressed. In the absence of caffeine as an excipient, the stressedSamples 1-A and 1-FT showed higher effective diameter than non-stressedSample 1-C and in addition they show a second population of particles ofsignificantly higher diameter; this new grouping of particles with alarger diameter is evidence of aggregation into subvisible particles.The stressed samples containing the caffeine (Samples 2-A and 2-FT) onlydisplay one population at a particle diameter similar to the unstressedSample 2-C. These results demonstrate the effect of adding caffeine toreduce or minimize the formation of aggregates or subvisible particles.Table 21 and FIGS. 1, 2, and 3 show the DLS data, where a multimodalparticle size distribution of the monoclonal antibody is evident instressed samples that do not contain caffeine.

TABLE 21 Diameter % by Diameter % by Effective of Popula- Intensity ofPopula- Intensity Sample Diameter tion #1 of Popula- tion #2 of Popula-# (nm) (nm) tion #1 (nm) tion #2 1-C  10.9 10.8 100 — — 1-A  11.5 10.887 28.9 13 1-FT 20.4 11.5 66 112.2 44 2-C  10.5 10.5 100 — — 2-A  10.810.8 100 — — 2-FT 11.4 11.4 100 — —

Tables 22A and Table 22B display the DLS raw data of adalimumab samplesshowing the particle size distributions. G(d) is the intensity-weighteddifferential size distribution. C(d) is the cumulativeintensity-weighted differential size distribution.

TABLE 22A Sample 1-C Sample 1-A Sample 1-FT Diameter Diameter Diameter(nm) G (d) C(d) (nm) G (d) C(d) (nm) G (d) C(d) 10.6 14 4 9.3 13 3 8.212 2 10.6 53 20 9.8 47 15 9.2 55 13 10.7 92 46 10.3 87 37 10.3 98 3210.8 100 76 10.8 100 63 11.5 100 52 10.9 61 93 11.4 67 80 12.9 57 6310.9 22 100 12 27 87 14.5 14 66 26.1 4 88 89.3 5 67 27.5 10 91 100.1 2772 28.9 13 94 112.2 52 83 30.5 13 97 125.7 52 93 32.1 7 99 140.8 30 9933.8 4 100 157.8 7 100

TABLE 22B Sample 2-C Sample 2-A Sample 2-FT Diameter Diameter Diameter(nm) G (d) C(d) (nm) G (d) C(d) (nm) G (d) C(d) 10.3 14 4 10.6 7 2 11.328 9 10.4 52 19 10.6 43 16 11.3 64 29 10.5 91 46 10.7 79 40 11.4 100 6010.5 100 75 10.8 100 71 11.5 79 85 10.6 62 93 10.8 64 91 11.5 43 98 10.723 100 10.9 29 100 11.6 7 100

Example 29: Evaluation of Stability by Size-Exclusion Chromatography(SEC)

SEC was used to detect any subvisible particulates of less than about0.1 microns in size from the stressed and unstressed adalimumab samplesdescribed above. A TSKgel SuperSW3000 column (Tosoh Biosciences,Montgomeryville, PA) with a guard column was used, and the elution wasmonitored at 280 nm. A total of 10 μl of each stressed and unstressedsample was eluted isocratically with a pH 6.2 buffer (100 mM phosphate,325 mM NaCl), at a flow rate of 0.35 ml/min. The retention time of theadalimumab monomer was approximately 9 minutes. The data showed thatsamples containing caffeine as an excipient did not show any detectableaggregates. Also the amount of monomer in all 3 samples remainedconstant.

Example 30: Viscosity Reduction of HERCEPTIN®

The monoclonal antibody trastuzumab (HERCEPTIN® from Genentech) wasreceived as a lyophilized powder and reconstituted to 21 mg/mL in DIwater. The resulting solution was concentrated as-is in an Amicon Ultra4 centrifugal concentrator tube (molecular weight cut-off, 30 KDa) bycentrifuging at 3500 rpm for 1.5 hrs. The concentration was measured bydiluting the sample 200 times in an appropriate buffer and measuringabsorbance at 280 nm using the extinction coefficient of 1.48 mL/mg.Viscosity was measured using a RheoSense microVisc viscometer.

Excipient buffers were prepared containing salicylic acid and caffeineeither alone or in combination by dissolving histidine and excipients indistilled water, then adjusting pH to the appropriate level. Theconditions of Buffer Systems 1 and 2 are summarized in Table 23.

TABLE 23 Buffer Salicylic Acid Caffeine Osmolality System #concentration concentration (mOsm/kg) pH 1 10 mg/mL 10 mg/mL 145 6 2 —15 mg/mL 86 6

HERCEPTIN® solutions were diluted in the excipient buffers at a ratio of˜1:10 and concentrated in Amicon Ultra 15 (MWCO 30 KDa) concentratortubes. Concentration was determined using a Bradford assay and comparedwith a standard calibration curve made from the stock HERCEPTIN® sample.Viscosity was measured using the RheoSense microVisc. The concentrationand viscosity measurements of the various HERCEPTIN® solutions are shownin Table 24 below, where Buffer System 1 and 2 refer to those buffersidentified in Table 23.

TABLE 24 Solution with 10 mg/mL Control solution Caffeine + 10 mg/mlSolution with 15 mg/mL with no added Salicylic Acid added Caffeine addedexcipients (Buffer System 1) (Buffer System 2) Antibody AntibodyAntibody Vis- Concen- Vis- Concen- Vis- Concen- cosity tration cositytration cosity tration (cP) (mg/mL) (cP) (mg/mL) (cP) (mg/mL) 37.2 2159.7 244 23.4 236 9.3 161 7.7 167 12.2 200 3.1 108 2.9 122 5.1 134 1.6 542.4 77 2.1 101

Buffer system 1, containing both salicylic acid and caffeine, had amaximum viscosity reduction of 76% at 215 mg/mL compared to the controlsample. Buffer system 2, containing just caffeine, had viscosityreduction up to 59% at 200 mg/mL.

Example 31: Viscosity Reduction of AVASTIN®

AVASTIN® (bevacizumab formulation marketed by Genentech) was received asa 25 mg/ml solution in a histidine buffer. The sample was concentratedin Amicon Ultra 4 centrifugal concentrator tubes (MWCO 30 KDa) at 3500rpm. Viscosity was measured by RheoSense microVisc and concentration wasdetermined by absorbance at 280 nm (extinction coefficient, 1.605mL/mg). The excipient buffer was prepared by adding 10 mg/mL caffeinealong with 25 mM histidine HCl. AVASTIN® stock solution was diluted withthe excipient buffer then concentrated in Amicon Ultra 15 centrifugalconcentrator tubes (MWCO 30 KDa). The concentration of the excipientsamples was determined by Bradford assay and the viscosity was measuredusing the RheoSense microVisc. Results are shown in Table 25 below.

TABLE 25 Viscosity Viscosity with 10 % Viscosity Concentration withoutadded mg/mL added caffeine Reduction from (mg/mL) excipient (cP)excipient (cP) Excipient 266 297 113 62% 213 80 22 73% 190 21 13 36%

AVASTIN® showed a maximum viscosity reduction of 73% when concentratedwith 10 mg/mL of caffeine to 213 mg/ml when compared to the controlAvastin sample.

Example 32: Profile of HUMIRA®

HUMIRA® (AbbVie Inc., Chicago, IL) is a commercially availableformulation of the therapeutic monoclonal antibody adalimumab, aTNF-alpha blocker typically prescribed to reduce inflammatory responsesof autoimmune diseases such as rheumatoid arthritis, psoriaticarthritis, ankylosing spondylitis, Crohn's disease, ulcerative colitis,moderate to severe chronic psoriasis and juvenile idiopathic arthritis.HUMIRA® is sold in 0.8 mL single use doses containing 40 mg ofadalimumab, 4.93 mg sodium chloride, 0.69 mg sodium phosphate monobasicdihydrate, 1.22 mg sodium phosphate dibasic dihydrate, 0.24 mg sodiumcitrate, 1.04 mg citric acid monohydrate, 9.6 mg mannitol and 0.8 mgpolysorbate-80. A viscosity vs. concentration profile of thisformulation was generated in the following way. An Amicon Ultra 15centrifugal concentrator with a 30 kDa molecular weight cut-off(EMD-Millipore, Billerica, MA) was filled with about 15 mL of deionizedwater and centrifuged in a Sorvall Legend RT (Kendro LaboratoryProducts, Newtown, CT) at 4000 rpm for 10 minutes to rinse the membrane.Afterwards the residual water was removed and 2.4 mL of HUMIRA® liquidformulation was added to the concentrator tube and was centrifuged at4000 rpm for 60 minutes at 25° C. Concentration of the retentate wasdetermined by diluting 10 microliters of retentate with 1990 microlitersof deionized water, measuring absorbance of the diluted sample at 280nm, and calculating the concentration using the dilution factor andextinction coefficient of 1.39 mL/mg-cm. Viscosity of the concentratedsample was measured with a microVisc viscometer equipped with an A05chip (RheoSense, San Ramon, CA) at a shear rate of 250 sec⁻¹ at 23° C.After viscosity measurement, the sample was diluted with a small amountof filtrate and concentration and viscosity measurements were repeated.This process was used to generate viscosity values at varying adalimumabconcentrations as set forth in Table 26 below.

TABLE 26 Adalimumab concentration (mg/mL) Viscosity (cP) 277 125 253 63223 34 202 20 182 13

Example 33: Reformulation of HUMIRA® with Viscosity-Reducing Excipient

The following example describes a general process by which HUMIRA® wasreformulated in buffer with viscosity-reducing excipient. A solution ofthe viscosity-reducing excipient was prepared in 20 mM histidine bydissolving about 0.15 g histidine (Sigma-Aldrich, St. Louis, MO) and0.75 g caffeine (Sigma-Aldrich, St. Louis, MO) in deionized water. ThepH of the resulting solution was adjusted to about 5 with 5 Mhydrochloric acid. The solution was then diluted to a final volume of 50mL in a volumetric flask with deionized water. The resulting bufferedviscosity-reducing excipient solution was then used to reformulateHUMIRA® at high mAb concentrations. Next, about 0.8 mL of HUMIRA® wasadded to a rinsed Amicon Ultra 15 centrifugal concentrator tube with a30 kDa molecular weight cutoff and centrifuged in a Sorvall Legend RT at4000 rpm and 25° C. for 8-10 minutes. Afterwards about 14 mL of thebuffered viscosity-reducing excipient solution prepared as describedabove was added to the concentrated HUMIRA® in the centrifugalconcentrator. After gentle mixing, the sample was centrifuged at 4000rpm and 25° C. for about 40-60 minutes. The retentate was a concentratedsample of HUMIRA® reformulated in a buffer with viscosity-reducingexcipient. Viscosity and concentration of the sample were measured, andin some cases then diluted with a small amount of filtrate to measureviscosity at a lower concentration. Viscosity measurements werecompleted with a microVisc viscometer in the same way as with theconcentrated HUMIRA® formulation in the previous example. Concentrationswere determined with a Bradford assay using a standard curve generatedfrom HUMIRA® stock solution diluted in deionized water. Reformulation ofHUMIRA® with the viscosity-reducing excipient gave viscosity reductionsof 30% to 60% compared to the viscosity values of HUMIRA® concentratedin the commercial buffer without reformulation, as set forth in Table 27below.

TABLE 27 Adalimumab concentration (mg/mL) Viscosity (cP) 290 61 273 48244 20 205 14

Example 34: Preparation of Formulations Containing Caffeine, a SecondaryExcipient and Test Protein

Formulations were prepared using caffeine as the excipient compound or acombination of caffeine and a second excipient compound, and a testprotein, where the test protein was intended to simulate a therapeuticprotein that would be used in a therapeutic formulation. Suchformulations were prepared in 20 mM histidine buffer with differentexcipient compounds for viscosity measurement in the following way.Excipient combinations (Excipients A and B, as described in Table 28below) were dissolved in 20 mM histidine (Sigma-Aldrich, St. Louis, MO)and the resulting solution pH adjusted with small amounts ofconcentrated sodium hydroxide or hydrochloric acid to achieve pH 6 priorto dissolution of the model protein. Once excipient solutions had beenprepared, the test protein (bovine gamma globulin (BGG) (Sigma-Aldrich,St. Louis, MO)) was dissolved at a ratio to achieve a final proteinconcentration of about 280 mg/mL. Solutions of BGG in the excipientsolutions were formulated in 20 mL glass scintillation vials and allowedto shake at 80-100 rpm on an orbital shaker table overnight. Thesolutions were then transferred to 2 mL microcentrifuge tubes andcentrifuged for about ten minutes at 2300 rpm in an IEC MicroMaxmicrocentrifuge to remove entrained air prior to viscosity measurement.

Viscosity measurements of formulations prepared as described above weremade with a DV-IIT LV cone and plate viscometer (Brookfield Engineering,Middleboro, MA). The viscometer was equipped with a CP-40 cone and wasoperated at 3 rpm and 25 degrees Centigrade. The formulation was loadedinto the viscometer at a volume of 0.5 mL and allowed to incubate at thegiven shear rate and temperature for 3 minutes, followed by ameasurement collection period of twenty seconds. This was then followedby 2 additional steps consisting of 1 minute of shear incubation andsubsequent twenty second measurement collection period. The three datapoints collected were then averaged and recorded as the viscosity forthe sample. Viscosities of solutions with excipient were normalized tothe viscosity of the model protein solution without excipient. Thenormalized viscosity is the ratio of the viscosity of the model proteinsolution with excipient to the viscosity of the model protein solutionwith no excipient.

TABLE 28 Excipient A Excipient B Conc. Conc. Normalized Name (mg/mL)Name (mg/mL) Viscosity — 0 — 0 1.00 Caffeine 15 — 0 0.77 Caffeine 15Sodium acetate 12 0.77 Caffeine 15 Sodium sulfate 14 0.78 Caffeine 15Aspartic acid 20 0.73 Caffeine 15 CaCl₂ dihydrate 15 0.65 Caffeine 15Dimethyl Sulfone 25 0.65 Caffeine 15 Arginine 20 0.63 Caffeine 15Leucine 20 0.69 Caffeine 15 Phenylalanine 20 0.60 Caffeine 15Niacinamide 15 0.63 Caffeine 15 Ethanol 22 0.65

Example 35: Preparation of Formulations Containing Dimethyl Sulfone andTest Protein

Formulations were prepared using dimethyl sulfone (Jarrow Formulas, LosAngeles, CA) as the excipient compound and a test protein, where thetest protein was intended to simulate a therapeutic protein that wouldbe used in a therapeutic formulation. Such formulations were prepared in20 mM histidine buffer for viscosity measurement in the following way.Dimethyl sulfone was dissolved in 20 mM histidine (Sigma-Aldrich, St.Louis, MO) and the resulting solution pH adjusted with small amounts ofconcentrated sodium hydroxide or hydrochloric acid to achieve pH 6 andthen filtered through a 0.22 micron filter prior to dissolution of themodel protein. Once excipient solutions had been prepared, the testprotein (bovine gamma globulin (BGG) from Sigma-Aldrich, St. Louis, MO)was dissolved at a concentration of about 280 mg/mL. Solutions of BGG inthe excipient solutions were formulated in 20 mL glass scintillationvials and allowed to shake at 80-100 rpm on an orbital shaker tableovernight. The solutions were then transferred to 2 mL microcentrifugetubes and centrifuged for about ten minutes at 2300 rpm in an IECMicroMax microcentrifuge to remove entrained air prior to viscositymeasurement.

Viscosity measurements of formulations prepared as described above weremade with a DV-IIT LV cone and plate viscometer (Brookfield Engineering,Middleboro, MA). The viscometer was equipped with a CP-40 cone and wasoperated at 3 rpm and 25 degrees Centigrade. The formulation was loadedinto the viscometer at a volume of 0.5 mL and allowed to incubate at thegiven shear rate and temperature for 3 minutes, followed by ameasurement collection period of twenty seconds. This was then followedby 2 additional steps consisting of 1 minute of shear incubation andsubsequent twenty second measurement collection period. The three datapoints collected were then averaged and recorded as the viscosity forthe sample. Viscosities of solutions with excipient were normalized tothe viscosity of the model protein solution without excipient. Thenormalized viscosity is the ratio of the viscosity of the model proteinsolution with excipient to the viscosity of the model protein solutionwith no excipient.

TABLE 29 Dimethyl sulfone concentration (mg/mL) Normalized viscosity 01.00 15 0.92 30 0.71 50 0.71 30 0.72

Example 36: Preparation of Formulations Containing Tannic Acid

In this Example, a high molecular weight poly(ethylene oxide) (PEG)molecule is used as a model compound to mimic the viscosity behavior ofa PEGylated protein. A control sample (#36.1 in Table 30) was preparedby mixing PEG (Sigma-Aldrich, Saint Louis, MO) with viscosity averagedmolecular weight (MV) of 1,000,000 with deionized (DI) water to makeapproximately 1.8% by weight PEG solution in sterile 5 mL polypropylenecentrifuge tubes. Two samples, #36.2 and 36.3, with tannic acid (TA,Spectrum Chemicals, New Brunswick, NJ) were prepared with TA:PEG massratios of approximately 1:100 and 1:1000 respectively by mixing theappropriate amounts PEG, TA, and 1 mM KCl prepared in DI water. Allsamples were placed on a Daigger Scientific (Vernon Hills, IL) Labgeniusorbital shaker at 200 rpm overnight. Viscosity measurements were made ona microVISC rheometer (RheoSense, San Ramon, CA) at 20° C. and a wallshear rate of 250 s⁻¹. After measurement, the viscosities werenormalized to the respective PEG concentrations to account for theconcentration dependence of the viscosity. The PEG concentrations, TAconcentrations, viscosities, normalized viscosities, and viscosityreductions for the samples 36.1, 36.2, and 36.3 are listed in Table 30below. The addition of TA to concentrated PEG solutions substantiallydecreases the solution viscosity by up to approximately 40%.

TABLE 30 PEG TA Normalized % Reduction concen- concen- Vis- viscosity innormalized tration tration cosity (Viscosity/ viscosity Sample (wt. %)(wt. %) (cP) wt. % PEG) from control 36.1 1.79 0 128 71.4 N/A 36.2 1.791.78 × 10⁻² 75.0 41.9 41.3 36.3 1.80 1.71 × 10⁻³ 84.5 46.9 34.3

Example 37: Formulations with Excipient Dose Profile

Formulations were prepared with different molar concentrations ofexcipient and a test protein, where the test protein was intended tosimulate a therapeutic protein that would be used in a therapeuticformulation. Such formulations were prepared in 20 mM histidine bufferfor viscosity measurement in the following way. Stock solutions of 0 and80 mM caffeine excipient were prepared in 20 mM histidine(Sigma-Aldrich, St. Louis, MO) and the resulting solution pH adjustedwith small amounts of concentrated sodium hydroxide or hydrochloric acidto achieve pH 6 prior to dissolution of the model protein. Additionalsolutions at various caffeine concentrations were prepared by blendingthe two stock solutions at various volume ratios. Once excipientsolutions had been prepared, the test protein (bovine gamma globulin(BGG, Sigma-Aldrich, St. Louis, MO)) was dissolved at a ratio to achievea final protein concentration of about 280 mg/mL by adding 0.7 mLsolution to 0.25 g lyophilized protein powder. Solutions of BGG in theexcipient solutions were formulated in 5 mL sterile polypropylene tubesand allowed to shake at 100 rpm on an orbital shaker table overnight todissolve. The solutions were then transferred to 2 mL microcentrifugetubes and centrifuged for five minutes at 2400 rpm in an IEC MicroMaxmicrocentrifuge to remove entrained air prior to viscosity measurement.

Viscosity measurements of formulations prepared as described above weremade with a microVisc viscometer (RheoSense, San Ramon, CA). Theviscometer was equipped with an A-10 chip having a channel depth of 100microns, and was operated at a shear rate of 250 s⁻¹ and 25 degreesCentigrade. To measure viscosity, the formulation was loaded into theviscometer, taking care to remove all air bubbles from the pipette. Thepipette with the loaded sample formulation was placed in the instrumentand allowed to incubate at the measurement temperature for five minutes.The instrument was then run until the channel was fully equilibratedwith the test fluid, indicated by a stable viscosity reading, and thenthe viscosity recorded in centipoise. The results of these measurementsare listed in Table 31.

TABLE 31 Test Excipient conc. Excipient conc. Viscosity Normalized #(mM) (mg/mL) (cP) Viscosity 37.1 20 3.9 77 0.92 37.2 50 9.7 65 0.78 37.310 1.9 70 0.84 37.4 5 1.0 67 0.81 37.5 30 5.8 63 0.76 37.6 40 7.8 650.78 37.7 0 0.0 83 1.00 37.8 70 13.6 50 0.60 37.9 80 15.5 50 0.60 37.1060 11.7 57 0.69

Example 38: Preparation of Formulations Containing Phenolic Compounds

In this Example, a high molecular weight poly(ethylene oxide) (PEG)molecule is used as a model compound to mimic the viscosity behavior ofa PEGylated protein. A control sample was prepared by mixing PEG(Sigma-Aldrich, Saint Louis, MO) with a viscosity averaged molecularweight (MV) of 1,000,000 with deionized (DI) water to approximately 1.8%by weight PEG in sterile 5 mL polypropylene centrifuge tubes. Thephenolic compounds gallic acid (GA, Sigma-Aldrich, Saint Louis, MO),pyrogallol (PG, Sigma-Aldrich, Saint Louis, MO) and resorcinol (R,Sigma-Aldrich, Saint Louis, MO) were tested as excipients as follows.Three PEG containing samples were prepared with added GA, PG and R atexcipient:PEG mass ratios of approximately 3:50, 1:2, and 1:2respectively by mixing the appropriate amounts PEG, excipient, and DIwater. Samples were placed on a Daigger Scientific (Vernon Hills, IL)Labgenius orbital shaker at 200 rpm overnight. Viscosity measurementswere made on a microVISC rheometer (RheoSense, San Ramon, CA) at 20° C.and a wall shear rate of 250 s⁻¹. After measurement, the viscositieswere normalized to the respective PEG concentrations to account for theconcentration dependence of the viscosity. The PEG concentrations,excipient concentrations, viscosities, normalized viscosities, andviscosity reductions for the control and excipient-containing samplesare listed in Table 32 below.

TABLE 32 Normalized % Reduction in PEG Excipient viscosity normalizedSample conc. Excipient conc. Viscosity (Viscosity/ viscosity # (wt. %)added (wt. %) (cP) wt. % PEG) from control 38.1 1.80 None 0.000 134 74.5N/A 38.2 1.80 GA 0.206 120 67.0 10.1 38.3 1.80 PG 0.870 106 59.2 19.638.4 1.80 R 1.00 113 63.1 15.3

Example 39: Preparation of Formulations Containing Excipients Having aPyrimidine Ring and Test Protein

Formulations were prepared using an excipient compound having astructure that included one pyrimidine ring and a test protein, wherethe test protein was intended to simulate a therapeutic protein thatwould be used in a therapeutic formulation. Such formulations wereprepared in 20 mM histidine buffer with different excipient compounds inthe following way. Excipient compounds as listed in Table 33 weredissolved in an aqueous solution of 20 mM histidine (Sigma-Aldrich, St.Louis, MO) and the resulting solution pH was adjusted with small amountsof concentrated sodium hydroxide or hydrochloric acid to achieve pH 6prior to dissolution of the model protein. Once the excipient solutionshad been prepared, the test protein (bovine gamma globulin (BGG,Sigma-Aldrich, St. Louis, MO)) was dissolved in each at a ratio toachieve a final protein concentration of 280 mg/mL. Solutions of BGG inthe excipient solutions were formulated in 20 mL glass scintillationvials and agitated at 100 rpm on an orbital shaker table overnight. Thesolutions were then transferred to 2 mL microcentrifuge tubes andcentrifuged for ten minutes at 2300 rpm in an IEC MicroMaxmicrocentrifuge to remove entrained air prior to viscosity measurement.

Viscosity measurements of formulations prepared as described above weremade with a DV-IIT LV cone and plate viscometer (Brookfield Engineering,Middleboro, MA). The viscometer was equipped with a CP-40 cone and wasoperated at 3 rpm and 25 degrees Centigrade. The formulation was loadedinto the viscometer at a volume of 0.5 mL and allowed to incubate at thegiven shear rate and temperature for 3 minutes, followed by ameasurement collection period of twenty seconds. This was then followedby 2 additional steps consisting of 1 minute of shear incubation andsubsequent twenty second measurement collection period. The three datapoints collected were then averaged and recorded as the viscosity forthe sample. Viscosities of solutions with excipient were normalized tothe viscosity of the model protein solution without excipient. Thenormalized viscosity is the ratio of the viscosity of the model proteinsolution with excipient to the viscosity of the model protein solutionwith no excipient. Results of these tests are shown in Table 33.

TABLE 33 Excipient Excipient Sample MW Conc Normalized # Excipient Added(g/mol) (mg/mL) Viscosity 39.1 Pyrimidinone 96.1 14 0.73 39.21,3-Dimethyluracil 140.1 22 0.67 39.3 Triaminopyrimidine 125.1 20 0.8739.4 Caffeine 194 15 0.77 39.5 Pyrimidinone 96.1 7 0.82 39.61,3-Dimethyluracil 140.1 11 0.76 39.7 Pyrimidine 80.1 13 0.78 39.8Pyrimidine 80.1 6.5 0.87 39.9 None n/a 0 0.97 39.10 None n/a 0 1.0039.11 None n/a 0 0.95 39.12 Theacrine 224 15 0.73 39.13 Theacrine 224 150.77

EQUIVALENTS

While specific embodiments of the subject invention have been disclosedherein, the above specification is illustrative and not restrictive.While this invention has been particularly shown and described withreferences to preferred embodiments thereof, it will be understood bythose skilled in the art that various changes in form and details may bemade therein without departing from the scope of the inventionencompassed by the appended claims. Many variations of the inventionwill become apparent to those of skilled art upon review of thisspecification. Unless otherwise indicated, all numbers expressingreaction conditions, quantities of ingredients, and so forth, as used inthis specification and the claims are to be understood as being modifiedin all instances by the term “about.” Accordingly, unless indicated tothe contrary, the numerical parameters set forth herein areapproximations that can vary depending upon the desired propertiessought to be obtained by the present invention.

What is claimed is:
 1. An injectable liquid pharmaceutical formulationcomprising: a) at least about 10 mg/ml therapeutic antibody; b) aviscosity reducing amount of caffeine, wherein the viscosity reducingamount of caffeine is 2% or less by weight of the injectable liquidpharmaceutical formulation; and c) a viscosity reducing amount of anaromatic acid, wherein viscosity of the injectable liquid pharmaceuticalformulation is less than about 100 cP.
 2. The injectable liquidpharmaceutical formulation of claim 1, wherein the aromatic acid issalicylic acid.
 3. The injectable liquid pharmaceutical formulation ofclaim 1, wherein the aromatic acid is nicotinic acid.
 4. The injectableliquid pharmaceutical formulation of claim 3, wherein the aromatic acidis nicotinic acid sodium salt.
 5. The injectable liquid pharmaceuticalformulation of claim 1, wherein the viscosity reducing amount ofcaffeine is less than about 20 mg/ml.
 6. The injectable liquidpharmaceutical formulation of claim 1, wherein the injectable liquidpharmaceutical formulation further comprises a buffer.
 7. The injectableliquid pharmaceutical formulation of claim 6, wherein the buffer is ahistidine buffer.
 8. The injectable liquid pharmaceutical formulation ofclaim 6, wherein the buffer is a phosphate buffer.
 9. The injectableliquid pharmaceutical formulation of claim 1, wherein the therapeuticantibody is selected from the group consisting of bevacizumab,trastuzumab, adalimumab, infliximab, etanercept, darbepoetin alfa,epoetin alfa, cetuximab, pegfilgrastim, filgrastim, and rituximab. 10.The injectable liquid pharmaceutical formulation of claim 1, wherein theviscosity of the injectable liquid pharmaceutical formulation is lessthan about 50 cP.
 11. The injectable liquid pharmaceutical formulationof claim 1, wherein the injectable liquid pharmaceutical formulationcontains at least about 100 mg/mL of the therapeutic antibody.
 12. Theinjectable liquid pharmaceutical formulation of claim 1, wherein theinjectable liquid pharmaceutical formulation contains at least about 200mg/mL of the therapeutic antibody.
 13. An injectable liquidpharmaceutical formulation comprising: a) at least about 10 mg/mltherapeutic antibody; and b) a viscosity reducing amount of nicotinicacid, wherein viscosity of the injectable liquid pharmaceuticalformulation is less than about 100 cP and the viscosity reducing amountof nicotinic acid is at least 8% by weight of the injectable liquidpharmaceutical formulation.
 14. The injectable liquid pharmaceuticalformulation of claim 13, wherein the nicotinic acid is nicotinic acidsodium salt.
 15. The injectable liquid pharmaceutical formulation ofclaim 13, wherein the injectable liquid pharmaceutical formulationfurther comprises a hindered amine.
 16. The injectable liquidpharmaceutical formulation of claim 13, wherein the injectable liquidpharmaceutical formulation further comprises a buffer.
 17. Theinjectable liquid pharmaceutical formulation of claim 16, wherein thebuffer is a histidine buffer.
 18. The injectable liquid pharmaceuticalformulation of claim 16, wherein the buffer is a phosphate buffer. 19.The injectable liquid pharmaceutical formulation of claim 13, whereinthe therapeutic antibody is selected from the group consisting ofbevacizumab, trastuzumab, adalimumab, infliximab, etanercept,darbepoetin alfa, epoetin alfa, cetuximab, pegfilgrastim, filgrastim,and rituximab.
 20. The injectable liquid pharmaceutical formulation ofclaim 13, wherein the viscosity of the injectable liquid pharmaceuticalformulation is less than about 50 cP.
 21. The injectable liquidpharmaceutical formulation of claim 13, wherein the injectable liquidpharmaceutical formulation contains at least about 100 mg/mL of thetherapeutic antibody.
 22. The injectable liquid pharmaceuticalformulation of claim 13, wherein the injectable liquid pharmaceuticalformulation contains at least about 200 mg/mL of the therapeuticantibody.
 23. The injectable liquid pharmaceutical formulation of claim1, wherein the therapeutic antibody is gamma globulin.
 24. Theinjectable liquid pharmaceutical formulation of claim 1, wherein theviscosity reducing amount of caffeine is about 15 mg/ml or less.
 25. Theinjectable liquid pharmaceutical formulation of claim 13, wherein theviscosity reducing amount of nicotinic acid is less than 300 mg/ml.